Аннотация
Trigeminal neuralgia (TN) is a severe neuropathic pain condition characterized by sudden, intense facial pain, often unresponsive to conventional treatments. Microvascular decompression (MVD) has emerged as a highly effective surgical intervention, offering significant pain relief and improved quality of life. However, a comprehensive understanding of its long-term efficacy and associated risks remains limited. This study examines treatment outcomes in patients undergoing MVD for TN, addressing critical gaps in current knowledge.A retrospective analysis was conducted on patients diagnosed with TN who underwent MVD. Clinical data, including pain intensity (measured via the Visual Analog Scale), recurrence rates, and postoperative complications, were analyzed. Findings indicate that MVD achieved immediate pain relief in 85% of patients, with 75% maintaining long-term remission. Postoperative complications were minimal, with transient facial numbness and mild cerebrospinal fluid leakage occurring in a small subset of cases.These results reinforce MVD as a life-saving intervention for TN patients, particularly those resistant to pharmacological therapy. The study underscores the importance of patient selection, surgical expertise, and postoperative management in optimizing outcomes. Future research should focus on refining surgical techniques and identifying predictive markers for sustained remission. MVD remains a gold-standard treatment, significantly enhancing the quality of life for TN patients.