Microvascular Decompression Surgery for Elderly Patients: A Study Based on Proposals from the Joint Committee of the Japan Gerontological Society and the Japan Geriatrics Society

The present study evaluated the indications for microvascular decompression (MVD) in elderly patients based on the new classification of the elderly population proposed by the joint committee of the Japan Gerontological Society and the Japan Geriatrics Society in 2017.Retrospective analysis of 171 p...

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Bibliographic Details
Published in:Neurologia medico-chirurgica 2020, Vol.60(9), pp.468-474
Main Authors: AMAGASAKI, Kenichi, UCHIDA, Tatsuya, HOSONO, Atsushi, NAKAGUCHI, Hiroshi
Format: Article
Language:English
Subjects:
Blood pressure
Cardiovascular diseases
Classification
Decision making
Decompression
elderly patients
Geriatrics
glossopharyngeal neuralgia
hemifacial spasm
microvascular decompression
Microvasculature
Neuralgia
Neurological complications
Older people
Original
Patients
Surgery
Trigeminal nerve
trigeminal neuralgia
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Summary:The present study evaluated the indications for microvascular decompression (MVD) in elderly patients based on the new classification of the elderly population proposed by the joint committee of the Japan Gerontological Society and the Japan Geriatrics Society in 2017.Retrospective analysis of 171 patients with hemifacial spasm (HFS), trigeminal neuralgia (TN), and glossopharyngeal neuralgia (GPN) who underwent MVD in 2018. Patients were divided into three groups based on the proposal: old group, 75–89 years; pre-old group, 65–74 years; and not-old group, 64 years or younger. Preoperative comorbidities were divided into five types and the American Society of Anesthesiologists Physical Status (ASA-PS) was recorded. Outcome of the surgery and neurological complications were evaluated in June 2019.No decrease in activity of daily living occurred in any patient and surgical results showed no difference among the three groups. Rate of preoperative cardiovascular diseases was higher in both the pre-old and old groups compared with the not-old group (p
ISSN:0470-8105
1349-8029
DOI:10.2176/nmc.oa.2020-0075