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Small vestibular schwannoma presented with trigeminal neuralgia: illustrative case

Keisuke Onoda, Yoshifumi Ogasawara, Yu Hirokawa, Ryohei Sashida, Ren Fujiwara, Tomihiro Wakamiya, Yuhei Michiwaki, Tatsuya Tanaka, Kazuaki Shimoji, Eiichi Suehiro, Fumitaka Yamane, Masatou Kawashima, and Akira Matsuno

Trigeminal neuralgia (TN) is a paroxysmal electric shock pain on one side of the face triggered by washing the face, eating, and speaking and is often caused by vascular compression of the trigeminal nerve. 1 TN can also be caused by compression of the trigeminal nerve by a tumor of the cerebellar pontine angle, but this is relatively rare. 2 Epidermoid is the most commonly found cerebellar pontine angle tumor causing TN, and vestibular schwannomas (VSs) are relatively uncommon, 2 occurring in only about 1.2%–3.3% of VSs. 3–5 There are 2 etiologies

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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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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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Right medium-sized vestibular schwannoma with trigeminal neuralgia post-fractionated radiotherapy

Kunal Vakharia, Anthony L. Mikula, Ashley M. Nassiri, Colin L. W. Driscoll, and Michael J. Link

Transcript 0:22 Description of Patient. Here we describe the resection of a right-sided medium vestibular schwannoma with trigeminal neuralgia status post-fractionated radiotherapy. Patient is a 51-year-old female with right-sided V2 trigeminal pain who was found to have a vestibular schwannoma that underwent fractionated radiotherapy with 48.6 Gy in 27 fractions over a 2-month period at an outside institution. She had sharp, persistent, lightening-type pain 6 months after radiotherapy. On exam she had reduced pinprick in V1–V2 down the angle

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Gamma knife surgery for trigeminal neuralgia: outcomes and prognostic factors

Jason Sheehan, Hung-Chuan Pan, Matei Stroila, and Ladislau Steiner

following GKS. This result is arguably very meaningful to patients with severe pain and can translate into a significant improvement in the quality of life. The variable history of TN is the other major difficulty in analyzing results from small to medium sized retrospective studies. Trigeminal neuralgia can be characterized by spontaneous partial or complete remissions. Its characteristic waxing and waning as well as the subjectivity of pain, sensory loss, and paresthesias make a longer follow-up period and straightforward end points essential. Prognostic Factors

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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

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Safety of microvascular decompression for trigeminal neuralgia in the elderly

Clinical article

Anand I. Rughani, Travis M. Dumont, Chih-Ta Lin, Bruce I. Tranmer, and Michael A. Horgan

EVD; reexploration craniotomy 1 65 F iatrogenic CVA or hemorrhage EVD 5 72 F iatrogenic CVA or hemorrhage; brain compression other craniotomy 54 72 F acute myocardial infarction none 3 78 M coma reexploration of craniotomy 4 78 F acute myocardial infarction none 5 82 M ischemic stroke; hydrocephalus EVD 2 89 F hemorrhage complicating procedure EVD 3 * CVA = cerebrovascular accident; EVD = external ventricular drain. Discussion Trigeminal neuralgia is a disabling condition

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Repeat microvascular decompression for recurrent idiopathic trigeminal neuralgia

Clinical article

Nicolaas A. Bakker, J. Marc C. Van Dijk, Steven Immenga, Michiel Wagemakers, and Jan D. M. Metzemaekers

I diopathic trigeminal neuralgia (TN) is a disabling disorder characterized by sudden attacks of unilateral facial pain. Microvascular decompression (MVD) is the method of choice to definitively cure the condition if medical treatment fails to provide sufficient relief. Although the success rates of MVD tends to reduce over time, in the majority of patients (up to 70%) long-term relief (10–15 years) can be achieved with minimal morbidity and mortality. 2 , 10 This also implies that a significant proportion of patients suffers recurrent TN after MVD, a

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Results of a third Gamma Knife radiosurgery for trigeminal neuralgia

Corbin A. Helis, Ryan T. Hughes, Michael T. Munley, J. Daniel Bourland, Travis Jacobson, John T. Lucas Jr., Christina K. Cramer, Stephen B. Tatter, Adrian W. Laxton, and Michael D. Chan

part at the 61st Annual Meeting of the American Society for Radiation Oncology (ASTRO) held in Chicago, IL, on September 15–18, 2019. References 1 Pollock BE . Surgical management of medically refractory trigeminal neuralgia . Curr Neurol Neurosci Rep . 2012 ; 12 ( 2 ): 125 – 131 . 10.1007/s11910-011-0242-7 22183181 2 Kondziolka D , Zorro O , Lobato-Polo J , Gamma Knife stereotactic radiosurgery for idiopathic trigeminal neuralgia

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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