PDF herunterladen
J Neurol Surg B Skull Base 2021; 82(S 03): e285-e294
DOI: 10.1055/s-0039-3402040
Original Article

Pain and Psychological Distress: Effect of Microvascular Decompression on Sleep Disorders and Obsessions in Trigeminal Neuralgia

Yanglingxi Wang
1   The Clinical College of Jining Medical University, Ji-Ning City, Shandong Province, People's Republic of China
,
Kai Sun
2   Deparment of Neurosurgery, Daping Hospital, Army Medical University, Chongqing, People's Republic of China
,
Wenling Zhang
3   Department of Neurosurgery, Ji Ning No.1 People's Hospital, Ji-Ning City, Shandong, Shandong Province, People's Republic of China
,
HaiTao Zhang
3   Department of Neurosurgery, Ji Ning No.1 People's Hospital, Ji-Ning City, Shandong, Shandong Province, People's Republic of China
,
Chong Wang 
4   Department of Neurosurgery, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, People's Republic of China
› Institutsangaben
› Weitere Informationen
Auch verfügbar auf
    Lizenzen und Reprints

Abstract

Objective This study was aimed to investigate the effects of microvascular decompression (MVD) on sleep disorders and obsessions in trigeminal neuralgia.

Methods Clinical data from 115 patients with trigeminal neuralgia treated with MVD from August 1, 2017 to May 31, 2018 at Jining First People's Hospital were analyzed retrospectively. The preoperative and postoperative risk factors for sleep disorders and obsessions, as well as the effects of MVD on sleep disorders and obsessions, were examined.

Results In 115 patients, there were significant differences in preoperative sleep disorders associated with sex, monthly household income, pain in multiple branches, visual analog scale (VAS) score, and Self-Rating Depression Scale (SDS) score (p < 0.05). Preoperative obsessions were significantly different according to age, gender, pain in multiple branches, monthly household income, VAS score, and Self-Rating Anxiety Scale (SAS) score groups (p < 0.05). A 1-year recurrence was positively correlated with sleep disturbance (odds ratio = 3.829) and obsessions (odds ratio = 4.507). In addition, the results revealed a negative correlation between the manipulation of trigeminal neuralgia and postoperative sleep disorders (B ≥ 1.043). Moreover, there was a significant difference in sleep disorders and obsessions before and 1 year after MVD (p < 0.05).

Conclusion For patients with trigeminal neuralgia, pain caused by sleep and obsession disorders should be examined early to identify an effective solution. Moreover, MVD, as a first treatment, is valuable for improving the physiological and psychological prognosis of patients.

Keywords

trigeminal neuralgia - microvascular decompression - sleep disorders - obsessions


Publikationsverlauf

Eingereicht: 15. September 2019

Angenommen: 17. November 2019

Artikel online veröffentlicht:
14. Januar 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • References

  • 1 Zakrzewska JM, McMillan R. Trigeminal neuralgia: the diagnosis and management of this excruciating and poorly understood facial pain. Postgrad Med J 2011; 87 (1028): 410-416
    CrossrefPubMedGoogle Scholar
  • 2 McLaughlin MR, Jannetta PJ, Clyde BL, Subach BR, Comey CH, Resnick DK. Microvascular decompression of cranial nerves: lessons learned after 4400 operations. J Neurosurg 1999; 90 (01) 1-8
    CrossrefPubMedGoogle Scholar
  • 3 Cruccu G, Gronseth G, Alksne J. et al; American Academy of Neurology Society; European Federation of Neurological Society. AAN-EFNS guidelines on trigeminal neuralgia management. Eur J Neurol 2008; 15 (10) 1013-1028
    CrossrefPubMedGoogle Scholar
  • 4 Sindou M, Howeidy T, Acevedo G. Anatomical observations during microvascular decompression for idiopathic trigeminal neuralgia (with correlations between topography of pain and site of the neurovascular conflict). Prospective study in a series of 579 patients. Acta Neurochir (Wien) 2002; 144 (01) 1-12
    CrossrefPubMedGoogle Scholar
  • 5 Wu TH, Hu LY, Lu T. et al. Risk of psychiatric disorders following trigeminal neuralgia: a nationwide population-based retrospective cohort study. J Rheumatol 2015; 16: 64
    PubMedGoogle Scholar
  • 6 Mačianskytė D, Janužis G, Kubilius R, Adomaitienė V, Ščiupokas A. Associations between chronic pain and depressive symptoms in patients with trigeminal neuralgia. Medicina (Kaunas) 2011; 47 (07) 386-392
    CrossrefPubMedGoogle Scholar
  • 7 Stiefel F, Stagno D. Management of insomnia in patients with chronic pain conditions. CNS Drugs 2004; 18 (05) 285-296
    CrossrefPubMedGoogle Scholar
  • 8 Mehraban A, Shams J, Moamenzade S, Samimi SM, Rafiee S, Zademohamadi F. The high prevalence of obsessive-compulsive disorder in patients with chronic pain. Iran J Psychiatry 2014; 9 (04) 203-208
    PubMedGoogle Scholar
  • 9 Fuerst G, Gruber R, Tangl S, Sanroman F, Watzek G. Enhanced bone-to-implant contact by platelet-released growth factors in mandibular cortical bone: a histomorphometric study in minipigs. Int J Oral Maxillofac Implants 2003; 18 (05) 685-690
    PubMedGoogle Scholar
  • 10 Cheng J, Long J, Hui X, Lei D, Zhang H. Effects of microvascular decompression on depression and anxiety in trigeminal neuralgia: A prospective cohort study focused on risk factors and prognosis. Clin Neurol Neurosurg 2017; 161: 59-64
    CrossrefPubMedGoogle Scholar
  • 11 Li H, Jin D, Qiao F, Chen J, Gong J. Relationship between the Self-Rating Anxiety Scale score and the success rate of 64-slice computed tomography coronary angiography. Int J Psychiatry Med 2016; 51 (01) 47-55
    CrossrefPubMedGoogle Scholar
  • 12 Knight RG, Waal-Manning HJ, Spears GF. Some norms and reliability data for the State--Trait Anxiety Inventory and the Zung Self-Rating Depression scale. Br J Clin Psychol 1983; 22 (Pt 4): 245-249
    CrossrefPubMedGoogle Scholar
  • 13 Lu K, Chen J, Wang L. et al. Association of sleep duration, sleep quality and shift-work schedule in relation to hypertension prevalence in chinese adult males: a cross-sectional survey. Int J Environ Res Public Health 2017; 14 (02) 210
    CrossrefPubMedGoogle Scholar
  • 14 Zhang CC, Gong H, Zhang Y. et al. Development and psychometric evaluation of the Mandarin Chinese version of the Yale-Brown Obsessive-Compulsive Scale - Second Edition. Braz J Psychiatry 2019; 41 (06) 494-498
    PubMedGoogle Scholar
  • 15 Castro M, Kraychete D, Daltro C, Lopes J, Menezes R, Oliveira I. Comorbid anxiety and depression disorders in patients with chronic pain. Arq Neuropsiquiatr 2009; 67 (04) 982-985
    CrossrefPubMedGoogle Scholar
  • 16 Bennetto L, Patel NK, Fuller G. Trigeminal neuralgia and its management. BMJ 2007; 334 (7586): 201-205
    CrossrefPubMedGoogle Scholar
  • 17 Finan PH, Smith MT. The comorbidity of insomnia, chronic pain, and depression: dopamine as a putative mechanism. Sleep Med Rev 2013; 17 (03) 173-183
    CrossrefPubMedGoogle Scholar
  • 18 Devor M, Wood I, Sharav Y, Zakrzewska JM. Trigeminal neuralgia during sleep. Pain Pract 2008; 8 (04) 263-268
    CrossrefPubMedGoogle Scholar
  • 19 Pieh C, Popp R, Geisler P, Hajak G. [Sleep and pain: a bi-directional relation?]. Psychiatr Prax 2011; 38 (04) 166-170
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 20 Dersh J, Gatchel RJ, Mayer T, Polatin P, Temple OR. Prevalence of psychiatric disorders in patients with chronic disabling occupational spinal disorders. Spine 2006; 31 (10) 1156-1162
    CrossrefPubMedGoogle Scholar
  • 21 Zakrzewska JM, Wu J, Mon-Williams M, Phillips N, Pavitt SH. Evaluating the impact of trigeminal neuralgia. Pain 2017; 158 (06) 1166-1174
    CrossrefPubMedGoogle Scholar
  • 22 Cottraux J. Behavioural psychotherapy for obsessive-compulsive disorder. Int Rev Psychiatry 1989; 1: 227-234
    CrossrefPubMedGoogle Scholar
  • 23 Romero-Sanchiz P, Nogueira-Arjona R, Godoy-Ávila A, Gavino-Lázaro A, Freeston MH. Differences in clinical intrusive thoughts between obsessive-compulsive disorder, generalized anxiety disorder, and hypochondria. Clin Psychol Psychother 2017; 24 (06) O1464-O1473
    CrossrefPubMedGoogle Scholar
  • 24 Murphy DL, Pato MT, Pigott TA. Obsessive-compulsive disorder: treatment with serotonin-selective uptake inhibitors, azapirones, and other agents. J Clin Psychopharmacol 1990; 10 (3, Suppl): 91S-100S
    CrossrefPubMedGoogle Scholar
  • 25 Schwartz MA. Obsessions and compulsions. Hosp Community Psychiatry 1991; 42 (12) 1261-1262
    PubMedGoogle Scholar
  • 26 Stein DJ, Roberts M, Hollander E. et al. Quality of life and pharmaco-economic aspects of obsessive-compulsive disorder. A South African survey. S Afr Med J 1996;86(12, Suppl):1579, 1582–1585
    PubMedGoogle Scholar
  • 27 Mancebo MC, Greenberg B, Grant JE. et al. Correlates of occupational disability in a clinical sample of obsessive-compulsive disorder. Compr Psychiatry 2008; 49 (01) 43-50
    CrossrefPubMedGoogle Scholar
  • 28 Wang YJ, Shen J, Lu JK. et al. [Preoperative anxiety and depression in patients undergoing cardiac surgery and related influencing factors]. Zhonghua Yi Xue Za Zhi 2008; 88 (39) 2759-2762
    PubMedGoogle Scholar
  • 29 Gdańska P, Drozdowicz-Jastrzębska E, Grzechocińska B, Radziwon-Zaleska M, Węgrzyn P, Wielgoś M. Anxiety and depression in women undergoing infertility treatment. Ginekol Pol 2017; 88 (02) 109-112
    CrossrefPubMedGoogle Scholar
  • 30 Rallis S, Skouteris H, McCabe M, Milgrom J. A prospective examination of depression, anxiety and stress throughout pregnancy. Women Birth 2014; 27 (04) e36-e42
    CrossrefPubMedGoogle Scholar
  • 31 Steinig J, Nagl M, Linde K, Zietlow G, Kersting A. Antenatal and postnatal depression in women with obesity: a systematic review. Arch Women Ment Health 2017; 20 (04) 569-585
    CrossrefPubMedGoogle Scholar
  • 32 Ardoino GI, Queirolo EI, Barg G, Ciccariello DA, Kordas K. The relationship among depression, parenting stress, and partner support in low-income women from Montevideo, Uruguay. Health Care Women Int 2015; 36 (04) 392-408
    CrossrefPubMedGoogle Scholar
  • 33 Yu J, Fei K, Fox A, Negron R, Horowitz C. Stress eating and sleep disturbance as mediators in the relationship between depression and obesity in low-income, minority women. Obes Res Clin Pract 2016; 10 (03) 283-290
    CrossrefPubMedGoogle Scholar
  • 34 Love S, Patel NK. Trigeminal neuralgia. In: Squire LR. ed. Encyclopedia of Neuroscience. Vol. 124. 2009. San Diego, CA: Elsevier; 1173-1177
    Google Scholar
  • 35 Nanda A, Javalkar V, Zhang S, Ahmed O. Long term efficacy and patient satisfaction of microvascular decompression and gamma knife radiosurgery for trigeminal neuralgia. J Clin Neurosci 2015; 22 (05) 818-822
    CrossrefPubMedGoogle Scholar
  • 36 Zhang H, Lei D, You C, Mao BY, Wu B, Fang Y. The long-term outcome predictors of pure microvascular decompression for primary trigeminal neuralgia. World Neurosurg 2013; 79 (5-6): 756-762
    CrossrefPubMedGoogle Scholar
  • 37 Cohen-Gadol AA. Microvascular decompression surgery for trigeminal neuralgia and hemifacial spasm: naunces of the technique based on experiences with 100 patients and review of the literature. Clin Neurol Neurosurg 2011; 113 (10) 844-853
    CrossrefPubMedGoogle Scholar
  • 38 Jie H, Xuanchen Z, Deheng L. et al. The long-term outcome of nerve combing for trigeminal neuralgia. Acta Neurochir (Wien) 2013; 155 (09) 1703-1708
    CrossrefPubMedGoogle Scholar