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        "resumen" => "<span id="abst0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Introduction</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">Microvascular decompression &#40;MVD&#41; is a non-ablative technique aimed at relieving pain in trigeminal neuralgia &#40;TN&#41; by resolving a neurovascular conflict&#46; Despite reported high success rates&#44; a significant percentage of patients experience therapeutic failure&#46;</p></span> <span id="abst0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0015">Methods</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Retrospective observational study of patients with suspected TN undergoing MVD was performed with the goal of identifying factors contributing to the persistence and recurrence of pain&#46;</p></span> <span id="abst0015" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0020">Results</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">In the present study&#44; 31 patients undergoing 38 MVD procedures for TN were included &#40;7 patients underwent reoperation after the failure of the initial operation&#41;&#46; The mean age was 58&#46;5 years with a male predominance &#40;58&#46;1&#37;&#41;&#46; The mean duration of pain was 6&#46;4 years&#44; mainly affecting branches V2 and V3 &#40;46&#46;7&#37;&#41;&#46; The most frequently described neurovascular conflict was with the superior cerebellar artery &#40;54&#46;8&#37;&#41;&#44; predominantly resolved with Teflon &#40;75&#46;9&#37;&#41;&#46;</p><p id="spar0045" class="elsevierStyleSimplePara elsevierViewall">In our case series&#44; MVD achieved pain control in 80&#46;6&#37; of patients at one-year post-intervention and 61&#46;3&#37; at the end of the follow-up period&#46; Twelve patients experienced MVD failure&#58; 5 cases of persistent pain and 7 cases of pain recurrence&#46; A detailed analysis of these failures identified misdiagnosis as the reason of persistent pain in 4 patients&#44; while inadequate surgical technique could be the cause of pain recurrence in 6 patients&#46;</p></span> <span id="abst0020" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0025">Conclusion</span><p id="spar0050" class="elsevierStyleSimplePara elsevierViewall">In our study&#44; therapeutic failures could mainly be attributed to two factors&#58; misdiagnosis or the use of inappropriate materials&#46; These factors should be considered when optimizing the management of DMV in patients with NT&#46;</p></span>"
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        "resumen" => "<span id="abst0025" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0035">Introducci&#243;n</span><p id="spar0055" class="elsevierStyleSimplePara elsevierViewall">La descompresi&#243;n microvascular &#40;DMV&#41; es una t&#233;cnica no ablativa dirigida a aliviar el dolor en la neuralgia del trig&#233;mino &#40;NT&#41; mediante la resoluci&#243;n del conflicto neurovascular&#46; A pesar de haberse descrito altas cifras de &#233;xito&#44; un significativo porcentaje de pacientes sufren fracaso terap&#233;utico&#46;</p></span> <span id="abst0030" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0040">M&#233;todos</span><p id="spar0060" class="elsevierStyleSimplePara elsevierViewall">Estudio observacional retrospectivo de pacientes con sospecha de NT y sometidos a DMV con el objetivo de identificar los factores que determinaron la persistencia y recurrencia del dolor&#46;</p></span> <span id="abst0035" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0045">Resultados</span><p id="spar0065" class="elsevierStyleSimplePara elsevierViewall">En el presente estudio fueron incluidos 31 pacientes sometidos a 38 procedimientos de DMV por NT &#40;7 pacientes fueron reintervenidos tras el fracaso de la primera operaci&#243;n&#41;&#46; La edad media fue 58&#44;5 a&#241;os con predominio del sexo masculino &#40;58&#44;1&#37;&#41;&#46; El tiempo medio de evoluci&#243;n del dolor era 6&#44;4 a&#241;os afectando principalmente ramas V2 y V3 &#40;46&#46;7&#37;&#41;&#46; El conflicto neurovascular m&#225;s frecuentemente descrito fue con la arteria cerebelosa superior &#40;54&#46;8&#37;&#41;&#44; y fue resuelto generalmente con tefl&#243;n &#40;75&#44;9&#37;&#41;&#46;</p><p id="spar0070" class="elsevierStyleSimplePara elsevierViewall">En nuestra serie de casos&#44; la DMV obtuvo control del dolor en el 80&#46;6&#37; al a&#241;o de la intervenci&#243;n&#44; y el 61&#44;3&#37; al final periodo de seguimiento&#46; Doce pacientes presentaron fracaso de la DMV&#58; 5 casos de dolor persistente&#44; y 7 casos de recurrencia del dolor&#46; Un an&#225;lisis detallado de estos fracasos determin&#243; un diagn&#243;stico err&#243;neo como causa de dolor persistente en 4 pacientes&#44; mientras que la interposici&#243;n de materiales inadecuados para la resoluci&#243;n del conflicto neurovascular pudo ser el motivo de la recurrencia del dolor en otros 6 pacientes&#46;</p></span> <span id="abst0040" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0050">Conclusi&#243;n</span><p id="spar0075" class="elsevierStyleSimplePara elsevierViewall">En nuestro estudio&#44; los fracasos terap&#233;uticos pudieron ser atribuidos a dos factores principalmente&#58; diagn&#243;stico err&#243;neo y la interposici&#243;n de un material inadecuado&#46; Estos factores deben considerarse en la optimizaci&#243;n del manejo de la DMV en paciente con NT&#46;</p></span>"
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