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Dedicated linear accelerator radiosurgery for the treatment of trigeminal neuralgia

Zachary A. Smith, Antonio A. F. De Salles, Leonardo Frighetto, Bryan Goss, Steve P. Lee, Michael Selch, Robert E. Wallace, Cynthia Cabatan-Awang, and Timothy Solberg

well as a possible primary modality in elderly patients and those who are candidates for more invasive procedures. Abbreviations used in this paper CT = computerized tomography ; LINAC = linear accelerator ; MR = magnetic resonance ; TN = trigeminal neuralgia . References 1. Barker FG II , Jannetta PJ , Bissonette DJ , et al : The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med 334 : 1077 – 1083 , 1996 Barker FG II

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Microvascular decompression for trigeminal neuralgia caused by vertebrobasilar compression

Mark E. Linskey, Hae Dong Jho, and Peter J. Jannetta

M icrovascular decompression of the trigeminal nerve is an effective operation for the treatment of patients with trigeminal neuralgia, with long-term cure rates reported in 69% to 96% of cases. 3, 4, 6, 15, 22, 26, 27, 36, 44, 47, 49, 55 In most cases, vascular compression is caused by branches of the distal vertebrobasilar trunk or regional veins. Symptomatic trigeminal nerve compression caused by either the vertebral artery (VA) or the basilar artery (BA) has been the subject of many case reports, 7, 8, 11, 14, 16, 18, 19, 28, 30, 32, 33, 39–41, 43, 45, 51

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Repeated Gamma Knife surgery for refractory trigeminal neuralgia

Chuan-Fu Huang, Jim-Chao Chuang, Hsien-Tang Tu, and Long-Yau Lin

Authors & Year No. of Cases GKS/Additive 2 nd GKS GKS (mos) (%) (%) (%) Hasegawa, et al., 2002 27 75.6/64.4/148.5 overlapped 50% 20.4 85.2 19 12.7 Shetter, et al., 2002 19 78.2/46.6/124.8 identical 13.5 85 53 42 Herman, et al., 2005 18 75/70/146 identical 24.5 78 45 11 Pollock, et al., 2005 19 81.6/76.1/163.1 retrogasserian 24 95 74 58 present study 28 79/52/132 identical 43 68 43 38 * FU = follow up; med = medicine. References 1 Brisman R : Gamma Knife radiosurgery for primary management for trigeminal neuralgia . J Neurosurg (Suppl 3) 93 : 159 – 161 , 2000 2

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Treatment of postherpetic trigeminal neuralgia with the Leksell gamma knife

Dušan Urgošík, Josef Vymazal, Vilibald Vladyka, and Roman Liščák

-controlled trial. J Pain Symptom Manage 13: 327–331, 1997 10.1016/S0885-3924(97)00077-8 5. Bullard DE , Nashold BS Jr : The caudalis DREZ for facial pain. Stereotact Funct Neurosurg 68 : 168 – 174 , 1997 Bullard DE, Nashold BS Jr: The caudalis DREZ for facial pain. Stereotact Funct Neurosurg 68: 168–174, 1997 10.1159/000099918 6. Burchiel KJ : Percutaneous retrogasserian glycerol rhizolysis in the management of trigeminal neuralgia. J Neurosurg 69 : 361 – 366 , 1988 Burchiel KJ: Percutaneous

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Percutaneous microcompression of the gasserian ganglion for trigeminal neuralgia

Ramiro D. Lobato, Juan J. Rivas, Rosario Sarabia, and Eduardo Lamas

I n the 1950's and 1960's deliberate compression of the gasserian ganglion was performed through an open operation for the treatment of trigeminal neuralgia. 1, 9, 23, 26, 34 Percutaneous mechanical gangliolysis was also performed either by massaging the ganglion with a blunt instrument 13 or by a fairly rapid injection of saline solution into Meckel's cave. 7 It was not until 1983 that Mullan and Lichtor 17 described a safe and effective method for compressing the ganglion using an inflatable balloon. Their preliminary results were promising enough to

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The pathophysiology of trigeminal neuralgia: a molecular review

Bryan Dong, Risheng Xu, and Michael Lim

the human species filter on PubMed and the following combination of keywords: trigeminal neuralgia, genetic, molecular, gene, mutation, channel, and inflammation. The titles and abstracts of articles of interest were individually checked to determine whether the article was an original clinical study investigating a specific pathophysiological mechanism in patients with TN. Articles were also manually checked to ensure a discovery cohort of at least 10 patients. Articles that met these two standards were individually reviewed on a whole-text basis. Articles

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John Murray Carnochan (1817–1887): the first description of successful surgery for trigeminal neuralgia

Historical vignette

R. Shane Tubbs, Marios Loukas, Mohammadali M. Shoja, and Aaron A. Cohen-Gadol

A lthough Aretaeus of Cappadocia, who lived in the 1st century CE, is credited with the first description of trigeminal neuralgia, 5 the credit for the first successful surgery (ganglionectomy) for this condition has been given by Gildenberg 7 to William Rose (1847–1910) 11 of King's College in London, in 1890. Mr. Rose's approach was via the infratemporal fossa containing the foramen ovale and exiting mandibular division of the trigeminal nerve. 14 Of note, more than 100 years earlier, Veillard and Dussans of France attempted unsuccessfully to transect

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Stereotactic radiosurgery for trigeminal neuralgia: a systematic review

International Stereotactic Radiosurgery Society practice guidelines

Constantin Tuleasca, Jean Régis, Arjun Sahgal, Antonio De Salles, Motohiro Hayashi, Lijun Ma, Roberto Martínez-Álvarez, Ian Paddick, Samuel Ryu, Ben J. Slotman, and Marc Levivier

medication; V, continued severe pain or no pain relief. 118 Other studies used the classification proposed by Eller et al., 29 which refers to idiopathic TN types 1 and 2. Trigeminal neuralgia type 1 (TN1) is described as typically sharp, shooting, electrical shock–like, episodic pain that is present more than 50% of the time but with pain-free intervals between attacks; TN2 is described as an aching, throbbing, or burning pain that is present more than 50% of the time but is constant in nature (constant background pain being the most significant attribute). The

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Trigeminal neuralgia treated by differential percutaneous radiofrequency coagulation of the Gasserian ganglion

G. Robert Nugent and Bruce Berry

I n 1970, Sweet and Wepsic 10 described a method for treatment of trigeminal neuralgia with radiofrequency lesions using a percutaneous approach to the Gasserian ganglion. Their very promising results in treating 73 patients stimulated further interest in this method and improvements in the technique. In this paper we present the results of this treatment in 65 patients. Materials and Methods To develop an improved radiographic method for the placement of the electrode we first made measurements of the target site in 54 cadaver skulls. Using this data

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Preoperative magnetic resonance imaging in Type 2 trigeminal neuralgia

Clinical article

Andrew C. Zacest, Stephen T. Magill, Jonathan Miller, and Kim J. Burchiel

, JP Miller. Analysis and interpretation of data: A Zacest, ST Magill, JP Miller. Drafting the article: A Zacest, ST Magill, JP Miller. Critically revising the article: A Zacest. Reviewed final version of the manuscript and approved it for submission: KJ Burchiel. Acknowledgment The authors thank Shirley McCartney, Ph.D., for editorial assistance. This article contains some figures that are displayed in color online but in black and white in the print edition. References 1 Burchiel KJ , Slavin KV : On the natural history of trigeminal neuralgia