![]() Keywords: Micro vascular decompression trigeminal neuralgia multiple sclerosis medical management A post-operative Barrow score of ≤3 was considered a satisfactory outcome, out of 16 patients 15 had satisfactory outcome.Ĭonclusions: We consider MVD to be gold standard treatment option in patients with TN, refractory to medical management. There was an average follow up of 16.37 months. The mean time from first neurosurgical clinic review and operation was 204 days, all the patients had a vascular loop identified on pre-operative MRI, all patients underwent micro vascular decompression. The mean time from diagnosis to surgery was 3.5 years. The patients included 11 females and 5 males, with a mean age of 50 years. All patients were operated on by the author. Results: During a 24-month period, 16 patients underwent MVD for TN. A Barrow Neurological Institute pain score was calculated pre and post-operatively for all patients. Methods: Between March 2016 and March 2018, 16 patients who were affected, by trigeminal neuralgia and underwent micro vascular decompression in the Department of Neurosurgery at tertiary centre were enrolled in the study. Objective: To assess the outcome of micro vascular decompression (MVD) for trigeminal neuralgia (TN) in the initial experience. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Published by KIMS Foundation and Research Center. DOI: Ĭopyright: © 2019 Raghavendra H et al. Micro vascular decompression for trigeminal neuralgia: Preliminary experience. Email: 28 December 2018 Revised 25 February 2019 Accepted 7 March 2019 Published 18 March 2019Ĭitation: Raghavendra H, Varsha KS, Sobti S. Raghavendra H, Department of Neurosurgery, ESIC Medical College and Super Speciality Hospital, Hyderabad-500038, Telangana, India. Raghavendra H 1,*, Varsha KS 2 and Shivender Sobti 3ġ Department of Neurosurgery, ESIC Medical College and Super Speciality Hospital, Hyderabad-500038, Telangana, IndiaĢ Department of Anaesthesiology, ESIC Medical College and Super Speciality Hospital, Hyderabad-500038, Telangana, Indiaģ Department of Neurosurgery, Christian Medical College & Hospital, Ludhiana, Punjab, India Raghavendra H, Varsha KS, Shivender Sobti DX 50 DECOMPRESSOR PLUSIt is important to note that the application has to be run with administrative rights, otherwise the installation will fail.ĭivX MPEG-4 Audio Codec brings just the necessary audio decompressor, without the rest of the outdated DivX 3.11 components which would replace the more recent ones that should not be changed.Ī big plus for this particular codec is that upon installation it will create an entry in the 'Programs and Features' or 'Add/Remove Programs' control panel section to allow you to safely uninstall it if needed.Īll in all, the package serves is purpose flawlessly and can be of great aid for anyone who needs to view a video and the sound is not available because one simple decompressor is missing.Micro vascular decompression for trigeminal neuralgia: Preliminary experience There are no configurations that need to be done in order to have the codec function properly, simply run the 'Register.exe' executable to have the DivX codec added automatically. DX 50 DECOMPRESSOR INSTALLTo solve the issue, all you have to do is get and install DivX MPEG-4 Audio Codec, a lightweight package that contains the necessary files for adding the filter to your environment. This is because the MP3 codecs cannot recognize the original format unless the DivX 3.11 Alpha codec is also present on the PC. If you plan on watching such a video and your system uses the DivX decoder version 4 or higher, its most likely that the sound will fail. This seems to be the case of videos with an audio stream in WMA (Windows Media Audio) format, more precisely movies encoded with DivX 3. Sometimes, depending on the encoders used for putting together the media file, some specific filters are required or only particular versions of some codecs. ![]() Playing movies or any video file on a computer would not be possible without the help of the proper codecs that are able to decode streams. ![]()
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