If the inline PDF is not rendering correctly, you can download the PDF file here.
Reappraisal of a Dated Idea
In 1994 the Leksell Gamma Knife Society, under the presidency of Prof. Kintomo Takakura, held its meeting in Kyoto, Japan. I presented 5 cases of trigeminal neuralgia that had been successfully treated using the Gamma Knife at a dose of 90 Gy and an anterior cisternal target (retrogasserian target).27 My presentation was very well attended and raised a great deal of interest because of its “novelty”! In fact, 37 years earlier, the first radiosurgical procedure in a human had been performed by Lars Leksell to treat trigeminal neuralgia by targeting the gasserian ganglion
Abbreviations used in this paper:DREZ = dorsal root entry zone; GKS = Gamma Knife surgery; JNS = Journal of Neurosurgery; MVD = microvascular decompression.
DhopleAAAdamsJRMaggioWWNaqviSARegineWFKwokY: Long-term outcomes of Gamma Knife radiosurgery for classic trigeminal neuralgia: implications of treatment and critical review of the literature. Clinical article. J Neurosurg111:351–3582009
FlickingerJCPollockBEKondziolkaDPhuongLKFooteRLStaffordSL: Does increased nerve length within the treatment volume improve trigeminal neuralgia radiosurgery? A prospective double-blind, randomized study. Int J Radiat Oncol Biol Phys51:449–4542001
GronsethGCruccuGAlksneJArgoffCBraininMBurchielK: Practice parameter: the diagnostic evaluation and treatment of trigeminal neuralgia (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the European Federation of Neurological Societies. Neurology71:1183–11902008
MassagerNLorenzoniJDevriendtDDesmedtFBrotchiJLevivierM: Gamma knife surgery for idiopathic trigeminal neuralgia performed using a far-anterior cisternal target and a high dose of radiation. J Neurosurg100:597–6052004
PollockBESchoeberlKA: Prospective comparison of posterior fossa exploration and stereotactic radiosurgery dorsal root entry zone target as primary surgery for patients with idiopathic trigeminal neuralgia. Neurosurgery67:633–6392010