Trigeminal XXXX : analysis of surgical experience with 73 cases.

@entity1 @entity2950 @entity5
OBJECTIVE: We reviewed the clinical and radiological features of 73 cases of trigeminal @entity2950 treated with radical surgery. METHODS: The records for 73 @entity1 with trigeminal @entity2950 who were surgically treated in the neurosurgery department of King Edward VII Memorial Hospital and Seth Gordhandas Sunderdas Medical College (Mumbai, India), between 1989 and 2001, were retrospectively analyzed. The appropriateness of the selected surgical route was studied. The postoperative and follow-up data for the @entity1 were analyzed, to determine the outcomes of radical surgery. RESULTS: In addition to the other presenting features of trigeminal @entity2950 , nine @entity1 presented with the rarely reported symptom of pathological laughter. Three approaches were observed to be appropriate for treatment of these @entity5 , i.e., the infratemporal fossa interdural approach, the lateral basal subtemporal approach, and the retrosigmoid approach. In 51 cases (70%), total @entity5 excision was achieved. Two @entity1 died during the postoperative period. With an average follow-up period of 38 months, there has been a recurrence in 1 case and 71 @entity1 are leading independent and active lives. CONCLUSION: Radical surgery is associated with excellent clinical outcomes and long-term @entity5 control. A majority of @entity5 , even those that are large and multicompartmental, can be removed in a single surgical stage and exposure.
