Commentary: Petrosal Vein Involvement in Neurovascular Conflict in Trigeminal Neuralgia: Surgical Technique and Clinical Outcomes

2021 ◽  
Author(s):  
André Beer-Furlan
Keyword(s):  
Surgical Technique ◽  
Trigeminal Neuralgia ◽  
Clinical Outcomes ◽  
Neurovascular Conflict ◽  
Petrosal Vein

Robotic Surgery in Women With Ovarian Cancer: Surgical Technique and Evidence of Clinical Outcomes

2016 ◽  
Vol 23 (3) ◽  
pp. 309-316 ◽  
Author(s):  
Lucas Minig ◽  
Pablo Padilla Iserte ◽  
Cristina Zorrero ◽  
Vanna Zanagnolo
Keyword(s):  
Ovarian Cancer ◽  
Robotic Surgery ◽  
Surgical Technique ◽  
Clinical Outcomes

scholarly journals Distal Clavicle Fracture Repair: Clinical Outcomes of a Novel Surgical Technique

2021 ◽  
Vol 37 (1) ◽  
pp. e51-e52
Author(s):  
David A. Porter ◽  
Raed J. Narvel ◽  
Robert Hassan ◽  
Charles J. Jordan ◽  
Gautam A. Yagnik
Keyword(s):  
Surgical Technique ◽  
Clinical Outcomes ◽  
Clavicle Fracture ◽  
Fracture Repair ◽  
Distal Clavicle ◽  
Distal Clavicle Fracture

scholarly journals Tumor control and trigeminal dysfunction improvement after stereotactic radiosurgery for trigeminal schwannomas: a systematic review and meta-analysis

2020 ◽  
Author(s):  
Iulia Peciu-Florianu ◽  
Jean Régis ◽  
Marc Levivier ◽  
Michaela Dedeciusova ◽  
Nicolas Reyns ◽  
...  
Keyword(s):  
Trigeminal Neuralgia ◽  
Tumor Progression ◽  
Stereotactic Radiosurgery ◽  
Clinical Outcomes ◽  
Meta Analysis ◽  
Symptomatic Improvement ◽  
Tumor Control ◽  
Linear Accelerators ◽  
Oculomotor Nerves ◽  
Clinical Worsening

AbstractTrigeminal nerve schwannomas (TS) are uncommon intracranial tumors, frequently presenting with debilitating trigeminal and/or oculomotor nerve dysfunction. While surgical resection has been described, its morbidity and mortality rates are non-negligible. Stereotactic radiosurgery (SRS) has emerged with variable results as a valuable alternative. Here, we aimed at reviewing the medical literature on TS treated with SRS so as to investigate rates of tumor control and symptomatic improvement. We reviewed manuscripts published between January 1990 and December 2019 on PubMed. Tumor control and symptomatic improvement rates were evaluated with separate meta-analyses. This meta-analysis included 18 studies comprising a total of 564 patients. Among them, only one reported the outcomes of linear accelerators (Linac), while the others of GK. Tumor control rates after SRS were 92.3% (range 90.1–94.5; p < 0.001), and tumor decrease rates were 62.7% (range 54.3–71, p < 0.001). Tumor progression rates were 9.4% (range 6.8–11.9, p < 0.001). Clinical improvement rates of trigeminal neuralgia were 63.5% (52.9–74.1, p < 0.001) and of oculomotor nerves were 48.2% (range 36–60.5, p < 0.001). Clinical worsening rate was 10.7% (range 7.6–13.8, p < 0.001). Stereotactic radiosurgery for TS is associated with high tumor control rates and favorable clinical outcomes, especially for trigeminal neuralgia and oculomotor nerves. However, patients should be correctly advised about the risk of tumor progression and potential clinical worsening. Future clinical studies should focus on standard reporting of clinical outcomes.

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