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논문 기본 정보

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학술저널
저자정보
Son, Byung-Chul (Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) Kim, Hyung-Suk (Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) Kim, Il-Sup (Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) Yang, Seung-Ho (Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea College of Medicine) Lee, Sang-Won (Department of Neurosurgery, St. Vincent's Hospital, The Catholic University of Korea College of Medicine)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제50권 제5호
발행연도
2011.1
수록면
446 - 452 (7page)

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Objective : We retrospectively investigated the long-term results of percutaneous radiofrequency thermocoagulation (RFT) using fluoroscopic image-guidance for treatment of trigeminal neuralgia. Methods : A total of 38 patients diagnosed and treated with RFT as an idiopathic trigeminal neuralgia were investigated. To minimize the risks related to conventional technique based on cutaneous landmarks, and to eliminate the need to frequent reposition of cannula, we adopted a technique of image-guided fluoroscopic cannulation of the foramen ovale. To minimize sensory complication following thermal lesion, our target response was a generation of a lesion with mild to moderate hypalgesia rather than dense hypalgesia. Results : The immediate pain-relief was achieved in all patients underwent RFT. With mean duration of follow-up of 38.2 months (range,12-72), 11 (28.9%) experienced recurrence of pain. The mean timing of recurrence was 26.1 months (range,12-46). A 42.7% recurrence rate was estimated by Kaplan-Meier analysis for the 38 patients at 46 months; 20.2% within 2 years, 29.1% within 3 years. In the long-term, 27 patients (71%) and 6 patients (15.8%) showed Barrow Neurological Institute (BNI) score I and BNI score II responses. Three (7.9%) patients was assessed as BNI score III, 2 patients (5.3%) showed BNI score IV response. As a complication, troublesome dysesthesia occurred in 3 of 38 patients (7.9%), however, there was no permanent cranial nerve palsy or morbidity. Conclusion : These results indicates that RFT under fluoroscopic image-guided cannulation of foramen ovale is a safe, effective, and reliable means of treating trigeminal neuralgia.
#Fluoroscopy #Foramen ovale #Radiofrequency #Thermocoagulation #Trigeminal neuralgia

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참고문헌 (40)

참고문헌 신청
Adams CB / 1989 / Adams CB : Microvascular compression : an alternative view and hypothesis / J Neurosurg 70:1~12 google schola Bale RJ / 2006 / Frameless stereotactic cannulation of the foramen ovale for ablative treatment of trigeminal neuralgia / Neurosurgery 59:394~402 google schola Broggi JA / 1990 / Long-term results of percutaneous retrogasserian thermocoagulation for “essential” trigeminal neuralgia : considerations in 1000 consecutive patients / Neurosurgery 26:783~787 google schola Brown JA / 2002 / Percutaneous techniques in Youmans Neurological Surgery, ed 5 / Philadelphia : Saunders :2996~2999 google schola Dandy WE / 1932 / The treatment of trigeminal neuralgia by the cerebellar route / Ann Surg 96:787~795 google schola

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