Manoel Jacobsen Teixeira

Balloon Compression of the Gasserian Ganglion for the Treatment of Trigeminal Neuralgia

The authors describe the results of the treatment of trigeminal neuralgia by balloon microcompression of the Gasserian ganglion. One hundred and eighty-seven procedures were performed in 158 patients. There were no deaths or complications of clinical importance and pain was relieved in all patients. It was concluded that the treatment of trigeminal neuralgia by the microcompression method is safe, simple, cheap, and is especially recommended in cases of pain affecting the first division of the trigeminal nerve and in clinically ill or non-cooperative patients.

Tratamento cirúrgico no acidente vascular cerebral hemorrágico: afinal, o que há de evidências?

Mais da metade dos pacientes com hematoma cerebral espontâneo evolui desfavoravelmente. O controleinadequado da pressao arterial sistemica e uma das principais causas para esse quadro dramatico.Varias pesquisas clinicas visando ao controle da expansao do hematoma tem se mostrado satisfatorias,entretanto pouco houve de avanco no tratamento cirurgico dessas condicoes. Ha inumeras variaveisque devem ser avaliadas em um paciente com hematoma intraparenquimatoso espontâneo, e esta revisao visa sistematizar o tratamento cirurgico baseado em evidencias. More than half of patients with spontaneous cerebral hematoma have a poor outcome. The inadequatecontrol of the systemic blood pressure is one of the main causes for this dramatic picture. Several clinical researches seeking the control of the hematoma expansion have shown satisfactory findings, however, little progress was demonstrated in the surgical treatment of those conditions. There are countless variables that should be appraised in a patient with spontaneous cerebral hematoma, and this review intends to systematize the surgical treatment based on evidences.