onr:"swepub:oai:DiVA.org:umu-158351"
Sökning: onr:"swepub:oai:DiVA.org:umu-158351" > One hundred eleven ...
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| Fältnamn | Indikatorer | Metadata |
|---|---|---|
| 000 | 04036naa a2200481 4500 | |
| 001 | oai:DiVA.org:umu-158351 | |
| 003 | SwePub | |
| 008 | 190424s2019 | |||||||||||000 ||eng| | |
| 009 | oai:prod.swepub.kib.ki.se:142478268 | |
| 024 | 7 | a https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-1583512 URI |
| 024 | 7 | a https://doi.org/10.1093/ons/opy4022 DOI |
| 024 | 7 | a http://kipublications.ki.se/Default.aspx?queryparsed=id:1424782682 URI |
| 040 | a (SwePub)umud (SwePub)ki | |
| 041 | a engb eng | |
| 042 | 9 SwePub | |
| 072 | 7 | a ref2 swepub-contenttype |
| 072 | 7 | a art2 swepub-publicationtype |
| 100 | 1 | a Asplund, Päru Umeå universitet,Klinisk neurovetenskap4 aut0 (Swepub:umu)parasd93 |
| 245 | 1 0 | a One hundred eleven Percutaneous Balloon Compressions for Trigeminal Neuralgia in a Cohort of 66 Patients with Multiple Sclerosis |
| 264 | c 2019-11 | |
| 264 | 1 | b Oxford University Press,c 2019 |
| 338 | a print2 rdacarrier | |
| 520 | a BACKGROUND: Trigeminal neuralgia associated with multiple sclerosis (MS-TN) is comparatively rare and larger series of percutaneous balloon compression (PBC) in such cases are few in the literature.OBJECTIVE: To evaluate the results after PBC for MS-TN with regards to therapeutic effect, side effects, and complications.METHODS: One hundred eleven procedures with PBC performed in 66 cases of MS-TN were analyzed. Therapeutic effect was measured as postoperative time to pain recurrence without medication. All complications were compiled and the sensory function was evaluated in a subgroup of cases.RESULTS: The initial pain free rate was 67% and the median time to pain recurrence was 8 mo. Thirty-six patients were treated with PBC only, and among them, the results were worse if treated 3 to 4 times before, compared to first treatment (P = .009-.034). Patients who had several PBCs had worse results already after the first surgery (P < .001). A significant number of patients had impaired sensation to light touch directly after surgery, which was normalized at the late follow-up. Sensimetric testing showed raised thresholds for perception and pain directly after surgery (P = .004-.03), but these were also normalized at the late follow-up.CONCLUSION: PBC is a treatment that can be effective for many patients with MS-TN. Repeated previous surgeries is a risk factor for an unsatisfactory outcome. However, the patients with multiple surgeries had less satisfactory results already at the first procedure, indicating that a therapy resistant disease can be predicted after the first two PBCs. Postoperative sensory deficits were common but not lasting. | |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Annan klinisk medicin0 (SwePub)302992 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Other Clinical Medicine0 (SwePub)302992 hsv//eng |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Neurologi0 (SwePub)302072 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Neurology0 (SwePub)302072 hsv//eng |
| 650 | 7 | a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kirurgi0 (SwePub)302122 hsv//swe |
| 650 | 7 | a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Surgery0 (SwePub)302122 hsv//eng |
| 653 | a Balloon compression | |
| 653 | a Multiple sclerosis | |
| 653 | a Trigeminal neuralgia | |
| 653 | a neurokirurgi | |
| 653 | a Neurosurgery | |
| 700 | 1 | a Linderoth, Bengtu Karolinska Institutet4 aut |
| 700 | 1 | a Lind, Göranu Karolinska Institutet4 aut |
| 700 | 1 | a Winter, Jaleh4 aut |
| 700 | 1 | a Bergenheim, A. Tommyu Umeå universitet,Klinisk neurovetenskap4 aut0 (Swepub:umu)tobe0004 |
| 710 | 2 | a Umeå universitetb Klinisk neurovetenskap4 org |
| 773 | 0 | t Operative Neurosurgeryd : Oxford University Pressg 17:5, s. 452-459q 17:5<452-459x 2332-4252x 2332-4260 |
| 856 | 4 8 | u https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-158351 |
| 856 | 4 8 | u https://doi.org/10.1093/ons/opy402 |
| 856 | 4 8 | u http://kipublications.ki.se/Default.aspx?queryparsed=id:142478268 |
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