Neurosurgical Outcomes in patients with Multiple Sclerosis related Trigeminal Neuralgia
Trigeminal neuralgia (TN) is a cranial nerve disorder that causes intense and debilitating unilateral facial pain. Medical therapy is usually initially effective to alleviate the pain, however, approximately 1/3 to 1/2 of sufferers will eventually become refractory to medications. Surgical interventions are then available including microvascular decompression (MVD) surgery or a variety of rhizotomy techniques. The Winnipeg Centre for Cranial Nerve Disorders (wCCND) at the Health Sciences Centre is a nationally recognized referral centre for the surgical treatment of TN. Referrals for surgery are received here form across Canada as well as providing the exclusive care to Manitobans. The aim of this project will be to review the data from existing prospectively maintained clinical database of all patients (in-province and out-of-province) who underwent first time surgery for medically refractory TN at the wCCND between 2001-2015. In addition, the B.Sc. Med Student will assess most recent long-term surgical outcome data obtained through telephone interviews or clinic visits. The results will analyze and compare long-term outcomes for MVD and rhizotomies surgeries for TN. The anticipated number of patients to be included in this review is approximately 300. The B.Sc. Med student is expected to gain expertise in cranial nerve disorders that will be fostered with mentorship exposure in the neurosurgery clinic, ward, and operating room in addition to literature review and research activities.
Trigeminal neuralgia (TN), multiple sclerosis