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Predictors of long-term success after microvascular decompression for trigeminal neuralgia

Clinical article

Jonathan P. Miller, Stephen T. Magill, Feridun Acar, and Kim J. Burchiel

, Bissonette DJ , Larkins MV , Jho HD : The long-term outcome of microvascular decompression for trigeminal neuralgia . N Engl J Med 334 : 1077 – 1083 , 1996 10.1056/NEJM199604253341701 2 Burchiel KJ : Abnormal impulse generation in focally demyelinated trigeminal roots . J Neurosurg 53 : 674 – 683 , 1980 10.3171/jns.1980.53.5.0674 3 Burchiel KJ : A new classification for facial pain . Neurosurgery 53 : 1164 – 1167 , 2003 10.1227/01.NEU.0000088806.11659.D8 4 Burchiel KJ , Slavin KV : On the natural history of trigeminal neuralgia

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Significance of degree of neurovascular compression in surgery for trigeminal neuralgia

Marion A. Hughes, Ronak H. Jani, Saeed Fakhran, Yue-Fang Chang, Barton F. Branstetter IV, Parthasarathy D. Thirumala, and Raymond F. Sekula Jr.

C lassical trigeminal neuralgia (cTN) is a neuropathic pain disorder marked by evoked and spontaneous attacks in the distribution of the trigeminal nerve, and the disorder is further associated with periods of complete remission and subsequent recurrence in most patients. The pain of cTN is considered to be among the most debilitating types of pain. Neurovascular compression (NVC) of the trigeminal nerve has been accepted as the cause of cTN in the majority of patients by the International Headache Society (IHS). 6 A recent prospective study of patients meeting

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Percutaneous retrogasserian glycerol rhizotomy for patients with idiopathic trigeminal neuralgia: a prospective analysis of factors related to pain relief

Bruce E. Pollock

N eurovascular compression is thought to be the cause of idiopathic trigeminal neuralgia for the majority of patients with this facial pain syndrome. 11, 14 Over the past several decades, MVD has proved to be a safe and effective operation for patients in whom medical therapy fails to alleviate the symptoms. 2, 6, 10, 27, 31, 32 The major benefit of MVD compared with ablative techniques is that patients can be relieved of their facial pain and retain normal trigeminal function. 3 Nevertheless, not every patient with trigeminal neuralgia is considered a good

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Linear accelerator–based radiosurgery for trigeminal neuralgia: comparative outcomes of frame-based and mask-based techniques

Jenny C. Kienzler, Stephen Tenn, Srinivas Chivukula, Fang-I Chu, Hiro D. Sparks, Nzhde Agazaryan, Won Kim, Antonio De Salles, Michael Selch, Alessandra Gorgulho, Tania Kaprealian, and Nader Pouratian

radiosurgery for medically refractory trigeminal neuralgia at the University of California Los Angeles Medical Center between 1996 and 2019 were identified. For prospective assessment of clinical outcome, an additional IRB approval was obtained before a patient questionnaire was sent to the selected patient group. Informed consent was signed by all patients participating in the prospective data collection. Patients in whom TN was secondary to another pathological process other than a vascular conflict, such as a tumor or multiple sclerosis, were excluded (n = 40). Only those

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Results of three or more Gamma Knife radiosurgery procedures for recurrent trigeminal neuralgia

Mihir Gupta, Varun Sagi, Aditya Mittal, Anudeep Yekula, Devan Hawkins, Justin Shimizu, Pate J. Duddleston, Kathleen Thomas, Steven J. Goetsch, John F. Alksne, David W. Hodgens, Kenneth Ott, Kenneth T. Shimizu, Christopher Duma, and Sharona Ben-Haim

, dentistry, and otolaryngology, have each formulated different classifications of the types of facial pain. 1 , 2 , 20 , 21 The diverse taxonomies have complicated efforts to establish uniform diagnostic terminology, compare results of natural history and outcome studies, and develop consistent clinical management guidelines for facial pain. 2 , 22 In the present study, we use the term “trigeminal neuralgia” to characterize the various subtypes of neuralgic and mixed neuralgic/neuropathic facial pain. It is possible that even classifications based on a detailed history

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Quality-of-life outcomes after Gamma Knife surgery for trigeminal neuralgia

Clinical article

Hung-Chuan Pan, Jason Sheehan, Chuan-Fu Huang, Meei-Ling Sheu, Dar-Yu Yang, and Wen-Ta Chiu

statistical analysis. References 1 Azar M , Yahyavi ST , Bitaraf MA , Gazik FK , Allahverdi M , Shahbazi S , : Gamma knife radiosurgery in patients with trigeminal neuralgia: quality of life, outcomes, and complications . Clin Neurol Neurosurg 111 : 174 – 178 , 2009 2 Barker FG II , Jannetta PJ , Bissonette DJ , Larkins MV , Jho HD : The long-term outcome of microvascular decompression for trigeminal neuralgia . N Engl J Med 334 : 1077 – 1083 , 1996 3 Brisman R , Khandji AG , Mooij RB : Trigeminal nerve

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Glycerol rhizotomy and radiofrequency thermocoagulation for trigeminal neuralgia in multiple sclerosis

Clinical article

Matthew T. Bender, Gustavo Pradilla, Sachin Batra, Alfred P. See, Carol James, Carlos A. Pardo, Benjamin S. Carson, and Michael Lim

T rigeminal neuralgia is a common pain syndrome in patients with MS. Trigeminal neuralgia is found in 2% 26 , 47 of patients with MS and typically occurs more than 10 years after MS is diagnosed, but can be the first MS symptom in as many as 15% of patients. 26 , 29 Vascular compression of the trigeminal nerve is the underlying cause in most cases of TN. 23 , 24 , 28 Patients with suspected but unproven neurovascular compression are said to have ITN. Among other causes, MS is the most common, with patients with TN-MS representing 2%–8% of all patients

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Are peripheral neurectomies of value in the treatment of trigeminal neuralgia? An analysis of new cases and cases involving previous radiofrequency gasserian thermocoagulation

Raj Murali and Richard L. Rovit

D estructive procedures on the various peripheral branches of the trigeminal nerve, such as supraorbital and infraorbital neurectomy, have long been known to play a beneficial role in the management of trigeminal neuralgia. 1 These peripheral procedures are not commonly used presently primarily because of a high incidence of pain recurrence. Also, they have been superseded by more complex procedures such as microvascular decompression and radiofrequency thermocoagulation. However, we believe that there is a subgroup of patients with trigeminal neuralgia who

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Long-term outcome after gamma knife surgery for secondary trigeminal neuralgia

Jean Régis, Philippe Metellus, Henry Dufour, Pierre-Hughes Roche, Xavier Muracciole, William Pellet, Francois Grisoli, and Jean-Claude Peragut

invading the cavernous sinus. Laryngoscope 101 : 557 – 564 , 1991 Anand VK, House JR III, Al-Mefty O: Management of benign neoplasms invading the cavernous sinus. Laryngoscope 101: 557–564, 1991 4. Barker FG II , Jannetta PJ , Babu RP , et al : Long-term outcome after operation for trigeminal neuralgia in patients with posterior fossa tumors. J Neurosurg 84 : 818 – 825 , 1996 Barker FG II, Jannetta PJ, Babu RP, et al: Long-term outcome after operation for trigeminal neuralgia in patients with

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Does the Gamma Knife dose rate affect outcomes in radiosurgery for trigeminal neuralgia?

Clinical article

Yoshio Arai, Hideyuki Kano, L. Dade Lunsford, Josef Novotny Jr., Ajay Niranjan, John C. Flickinger, and Douglas Kondziolka

outcomes of 256 gamma knife surgery procedures for trigeminal neuralgia and other types of facial pain as they relate to the half-life of cobalt . J Neurosurg 105 : 730 – 735 , 2006 2 Brenner DJ , Hall EJ : Conditions for the equivalence of continuous to pulsed low dose rate brachytherapy . Int J Radiat Oncol Biol Phys 20 : 181 – 190 , 1991 3 Corre I , Niaudet C , Paris F : Plasma membrane signaling induced by ionizing radiation . Mutat Res 704 : 61 – 67 , 2010 4 Flickinger JC , Pollock BE , Kondziolka D , Phuong LK , Foote