Microvascular decompression in trigeminal neuralgia and multiple sclerosis

  • Rogelio Revuelta-Gutiérrez
  • Jorge Navarro-Bonnet
  • Duval Molina-Choez
  • José de Jesús Flores-Rivera
  • José de Jesús Martínez-Manrique
  • Jaime Jesús Martínez-Anda
Keywords: facial pain, microvascular decompression, trigeminal neuralgia, multiple sclerosis.


Trigeminal neuralgia in multiple sclerosis, kwon as symptomatic trigeminal neuralgia (STN), is present in 3% of multiple sclerosis patients. Despite the fact that a demyelinating plaque near the trigeminal system in the brainstem is accepted as the pathophysiological mechanism, it has been proved a vascular compressive component as well, that has made considered microvascular decompression (MVD) an effective treatment in these patients. We present the case of a 32 years old male with diagnosis of secondary progressive multiple sclerosis and brainstem lesions, associated with STN treated by MVD achieving an excellent pain control.

How to Cite
Revuelta-Gutiérrez, R., Navarro-Bonnet, J., Molina-Choez, D., Flores-Rivera, J. de J., Martínez-Manrique, J. de J., & Martínez-Anda, J. J. (2015). Microvascular decompression in trigeminal neuralgia and multiple sclerosis. Archivos De Neurociencias, 20(1), 95-98. https://doi.org/10.31157/archneurosciencesmex.v20i1.77
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