지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2019.1
- 수록면
- 30 - 37 (8page)
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초록· 키워드
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Objectives: Trigeminal neuralgia (TN) is undurable paroxysmal pain in the distribution of the fifth cranial nerve. Invasive treatment modalities for TN include microvascular decompression (MVD) and percutaneous procedures, such as, radiofrequency rhizotomy (RFR). Gamma Knife radiosurgery (GKRS) is a considerable option for patients with pain recurrence after an initial procedure. This study was undertaken to analyze the effects of gamma knife radiosurgery in recurrent TN after other procedures. Methods: Eleven recurrent TN patients after other procedures underwent GKRS in our hospital from September 2004 to August 2016. Seven patients had previously undergone MVD alone, two underwent MVD with partial sensory rhizotomy (PSR), and two underwent RFR. Mean patient age was 60.5 years. We retrospectively analyzed patient’s characteristics, clinical results, sites, and divisions of pain. Outcomes were evaluated using the Visual Analog Scales (VAS) score. Results: Right sides were more prevalent than left sides (7:4). The most common distribution of pain was V1 + V2 division (n = 5) following V2 + V3 (n = 3), V2 (n = 2), and V1 + V2 + V3 (n = 1) division. Median GKRS dose was 80 Gy and the mean interval between the prior treatment and GKRS was 74.45 months. The final outcomes of subsequent GKRS were satisfactory in most cases, and at 12 months postoperatively ten patients (90.0%) had a VAS score of ≤ 3. Conclusions: In this study, the clinical result of GKRS was satisfactory. Invasive procedures, such as, MVD, RFR are initially effective in TN patients, but GKRS provides a safe and satisfactory treatment modality for those who recurred after prior invasive treatments.
목차
등록된 정보가 없습니다.
참고문헌 (24)
참고문헌 신청
Zakrzewska JM / 2006 / Trigeminal neuralgia / Clin Evid :1827~1835
Ziccardi VB / 1993 / Trigeminal neuralgia : review of etiologies and treatments / Compendium 14:1256
Fields HL / 1996 / Treatment of trigeminal neuralgia / N Engl J Med 334:1125~1126
Ishikawa M / 2002 / Operative findings in cases of trigeminal neuralgia without vascular compression : proposal of a different mechanism / J Clin Neurosci 9:200~204
Pollock BE / 2010 / Surgical management of trigeminal neuralgia patients with recurrent or persistent pain despite three or more prior operations / World Neurosurg 73:523~528
Ziccardi VB / 1993 / Trigeminal neuralgia : review of etiologies and treatments / Compendium 14:1256
Fields HL / 1996 / Treatment of trigeminal neuralgia / N Engl J Med 334:1125~1126
Ishikawa M / 2002 / Operative findings in cases of trigeminal neuralgia without vascular compression : proposal of a different mechanism / J Clin Neurosci 9:200~204
Pollock BE / 2010 / Surgical management of trigeminal neuralgia patients with recurrent or persistent pain despite three or more prior operations / World Neurosurg 73:523~528
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