Letter to the Editor. Cafeteria approach to management of trigeminal neuralgia: stereotactic radiosurgery as a preferred option

Restricted access

TO THE EDITOR: We have read with great interest the article by Tuleasca and colleagues3 (Tuleasca C, Régis J, Sahgal A, et al: Stereotactic radiosurgery for trigeminal neuralgia: a systematic review. J Neurosurg [epub ahead of print April 27, 2018. DOI: 10.3171/2017.9.JNS17545]).

Trigeminal neuralgia (TN) has always been a disease of conflict from pathological and treatment perspectives. Despite advances in radiological imaging, evidence from autopsy studies, and intraoperative findings, concrete answers are still not in sight. A cafeteria approach ranging from conservative treatment (medications) through minimally invasive surgery (radiosurgery, radiofrequency ablation, etc.) to microvascular

Article Information

Correspondence Manjul Tripathi: drmanjultripathi@gmail.com.

INCLUDE WHEN CITING Published online June 29, 2018; DOI: 10.3171/2018.5.JNS181203.

Disclosures The author reports no conflict of interest.

© AANS, except where prohibited by US copyright law.

Headings

References

1

Kondziolka DLunsford LDFlickinger JCYoung RFVermeulen SDuma CM: Stereotactic radiosurgery for trigeminal neuralgia: a multiinstitutional study using the gamma unit. J Neurosurg 84:9409451996

2

Strang-Kutay A: Medicolegal issues in stereotactic radiosurgery in Chin LSRegine WF (eds): Principles and Practice of Stereotactic Radiosurgery. New York: Springer2008

3

Tuleasca CRégis JSahgal ADe Salles AHayashi MMa L: Stereotactic radiosurgery for trigeminal neuralgia: a systematic review. J Neurosurg [epub ahead of print April 27 2018. DOI: 10.3171/2017.9.JNS17545]

1

Flickinger JCPollock BEKondziolka DPhuong LKFoote RLStafford SL: Does increased nerve length within the treatment volume improve trigeminal neuralgia radiosurgery? A prospective double-blind, randomized study. Int J Radiat Oncol Biol Phys 51:4494542001

2

Gorgulho AADe Salles AA: Impact of radiosurgery on the surgical treatment of trigeminal neuralgia. Surg Neurol 66:3503562006

3

Huang CFChuang JCTu HTChou MC: Microsurgical outcomes after failed repeated Gamma Knife surgery for refractory trigeminal neuralgia. J Neurosurg 105 Suppl:1171192006

4

Kondziolka DZorro OLobato-Polo JKano HFlannery TJFlickinger JC: Gamma Knife stereotactic radiosurgery for idiopathic trigeminal neuralgia. J Neurosurg 112:7587652010

5

Linskey MERatanatharathorn VPenagaricano J: A prospective cohort study of microvascular decompression and Gamma Knife surgery in patients with trigeminal neuralgia. J Neurosurg 109 Suppl:1601722008

6

Mousavi SHNiranjan AAkpinar BMonaco EA IIICohen JBhatnagar J: A proposed plan for personalized radiosurgery in patients with trigeminal neuralgia. J Neurosurg 128:4524592018

7

Pollock BESchoeberl KA: Prospective comparison of posterior fossa exploration and stereotactic radiosurgery dorsal root entry zone target as primary surgery for patients with idiopathic trigeminal neuralgia. Neurosurgery 67:6336392010

8

Regis JTuleasca CResseguier NCarron RDonnet AGaudart J: Long-term safety and efficacy of Gamma Knife surgery in classical trigeminal neuralgia: a 497-patient historical cohort study. J Neurosurg 124:107910872016

9

Tuleasca CCarron RResseguier NDonnet ARoussel PGaudart J: Repeat Gamma Knife surgery for recurrent trigeminal neuralgia: long-term outcomes and systematic review. J Neurosurg 121 Suppl:2102212014

TrendMD

Metrics

Metrics

All Time Past Year Past 30 Days
Abstract Views 63 63 63
Full Text Views 17 17 17
PDF Downloads 37 37 37
EPUB Downloads 0 0 0

PubMed

Google Scholar