scholarly journals Endoscopic Vascular Decompression for the Treatment of Trigeminal Neuralgia: Clinical Outcomes and Technical Note

2020 ◽  
Vol Volume 13 ◽  
pp. 2205-2211
Author(s):  
Zhixiang Sun ◽  
Yu Wang ◽  
Xintao Cai ◽  
Shan Xie ◽  
Zhiquan Jiang
Keyword(s):  
Trigeminal Neuralgia ◽  
Clinical Outcomes ◽  
Technical Note ◽  
Vascular Decompression

Endoscopic Vascular Decompression for the Treatment of Trigeminal Neuralgia: Clinical Outcomes and Technical Note

2014 ◽  
Vol 81 (3-4) ◽  
pp. 603-608 ◽  
Author(s):  
Pradeep Setty ◽  
Andrey A. Volkov ◽  
Kenneth P. D'Andrea ◽  
Daniel R. Pieper
Keyword(s):  
Trigeminal Neuralgia ◽  
Clinical Outcomes ◽  
Technical Note ◽  
Vascular Decompression

scholarly journals Percutaneous Glycerol Rhizotomy for Trigeminal Neuralgia Using a Single-Plane, Flat Panel Detector Angiography System: Technical Note

2016 ◽  
Vol 56 (5) ◽  
pp. 257-263 ◽  
Author(s):  
Hidetaka ARISHIMA ◽  
Satoshi KAWAJIRI ◽  
Hiroshi ARAI ◽  
Yoshifumi HIGASHINO ◽  
Toshiaki KODERA ◽  
...  
Keyword(s):  
Trigeminal Neuralgia ◽  
Technical Note ◽  
Flat Panel ◽  
Single Plane ◽  
Flat Panel Detector

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.

scholarly journals Surgical Outcome of Microvascular Decompression for Trigerminal Neuralgia in Terms of Pain Control Using Visual Analogue Scale

2020 ◽  
Vol 24 (3) ◽  
Author(s):  
RIAZ-UR- REHMAN ◽  
MUHAMMAD NAWAZ KHAN ◽  
ATTIYA NASIR SIDDIQUE ◽  
AKBAR JAMAL
Keyword(s):  
Pain Relief ◽  
Visual Analogue Scale ◽  
Trigeminal Neuralgia ◽  
Pain Control ◽  
Analogue Scale ◽  
Visual Analogue Score ◽  
Definitive Treatment ◽  
Inclusion Criteria ◽  
Good Pain Relief ◽  
Vascular Decompression

Objective:  The aim of conducting this study was to evaluate the outcome of a Micro vascular Decompression procedure for the definitive treatment of Trigeminal Neuralgia in our setup. Material and Methods:  This observational prospective study was carried out in Neurosurgery unit Hayatabad Medical Complex, Peshawar. A total of 50 patients operated for micro vascular decompression surgeries were enrolled in the study, both genders and any age were in inclusion criteria. Patients previously operated for trigeminal neuralgia were excluded from the study. Post operatively all patients were followed for 1year to calculate the outcome in terms of pain control using visual analogue score (VAS). Immediate pain relief during the first post-operative week and trigeminal neuralgia pain at 1 year post op were recorded and  graded into three categories based on Visual Analogue Scale (VAS) such as Excellent: 0-2 , Good: 3-6, Fail/Poor: 7 – 10. Results:  50 patients fulfilled the inclusion criteria. 22 were male & 28 were female with an age range from 42-78 years. Average duration of disease was 5 years. In 30 patients, clinically v2-v3 were predominantly involved, in remaining 14 patient v1-v2 were involved & only in 6 patients all three branches were involved. Among all operated 50 patients 18(36%) had excellent pain relief, 26 (52%) had good pain relief & 6 (12%) had fail/poor pain relief. Conclusion:  From this data it was concluded that micro vascular decompression is an effective surgical procedure in relieving pain of trigeminal neuralgia in patients who are refractive to medical treatment.

Micrometric Multiarray Techniqueas Treatment for Trigeminal Neuralgia: Technical Note

Neurosurgery ◽  
1998 ◽  
Vol 43 (3) ◽  
pp. 673-673 ◽  
Author(s):  
Eduardo A. Karol ◽  
E. Bagg ◽  
M. Socolovsky ◽  
J.M. Loston ◽  
R.L. Karol
Keyword(s):  
Trigeminal Neuralgia ◽  
Technical Note

Microanatomy of the Central Myelin-Peripheral Myelin Transition Zone of the Trigeminal Nerve

Neurosurgery ◽  
2006 ◽  
Vol 59 (2) ◽  
pp. 354-359 ◽  
Author(s):  
Selçuk Peker ◽  
Özlem Kurtkaya ◽  
İbrahim Üzün ◽  
M Necmettin Pamir
Keyword(s):  
Trigeminal Neuralgia ◽  
Trigeminal Nerve ◽  
Transitional Zone ◽  
Vascular Compression ◽  
Lateral Aspect ◽  
Entry Zone ◽  
Root Entry Zone ◽  
Central Myelin ◽  
Trigeminal Nerves ◽  
Vascular Decompression

Abstract OBJECTIVE: The aim of this study was to evaluate the microanatomy of the central myelin-peripheral myelin transitional zone (TZ) in trigeminal nerves from cadavers. METHODS: One hundred trigeminal nerves from 50 cadaver heads were examined. The cisternal portion of the nerve (from the pons to Meckel's cave) was measured. Horizontal sections were stained and photographed. The photomicrographs were used to measure the extent of central myelin on the medial and lateral aspects of the nerve and to classify TZ shapes. RESULTS: The cisternal portions of the specimens ranged from 8 to 15 mm long (mean, 12.3 mm; median, 11.9 mm). The data from the photomicrographs revealed that the extent of central myelin (distance from pons to TZ) on the medial aspect of the nerve (range, 0.1–2.5 mm; mean, 1.13 mm; median, 1 mm) was shorter than that on the lateral aspect (range, 0.17–6.75 mm; mean, 2.47 mm; median, 2.12 mm). CONCLUSION: The data definitively prove that the root entry zone (REZ, nerve-pons junction) and TZ of the trigeminal nerve are distinct sites and that these terms should never be used interchangeably. The measurements showed that the central myelin occupies only the initial one-fourth of the trigeminal nerve length. If trigeminal neuralgia is caused exclusively by vascular compression of the central myelin, the problem vessel would always have to be located in this region. However, it is well known that pain from trigeminal neuralgia can resolve after vascular decompression at more distal sites. This suggests that the effects of surgical decompression are caused by another mechanism.

Stereotactic Radiosurgery Treatment of Trigeminal Neuralgia: Clinical Outcomes and Prognostic Factors

2016 ◽  
Vol 90 ◽  
pp. 604-612.e11 ◽  
Author(s):  
Zachary J. Taich ◽  
Steven J. Goetsch ◽  
Elsa Monaco ◽  
Bob S. Carter ◽  
Kenneth Ott ◽  
...  
Keyword(s):  
Prognostic Factors ◽  
Trigeminal Neuralgia ◽  
Stereotactic Radiosurgery ◽  
Clinical Outcomes
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