Document Detail

Trigeminal neuralgia.
MedLine Citation:
PMID:  18948729     Owner:  NLM     Status:  MEDLINE    
We completed a retrospective study of 270 patients with essential trigeminal neuralgia treated by gamma knife surgery. The target was localized on the retro-Gasserian portion of the nerve with 90 Gy at maximum. Among them, 150 patients were followed up more than 2 years. They were divided into 2 groups: pre-APS (41 patients) and post-APS (109 patients) treated by model C-APS since 2003. In the post-APS group, initial electric discharge was observed in 98.2% and at the last follow-up of at least 2 years in 79.8%. Complete recurrence was observed in 4.7% and postoperative complications were observed in 29.4%. These results were much better than those of the pre-APS group. There is no doubt that precise dose planning, C-APS treatment, so-called 'robotized micro radiosurgery', is important for improved treatment results.
Motohiro Hayashi
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Progress in neurological surgery     Volume:  22     ISSN:  0079-6492     ISO Abbreviation:  Prog Neurol Surg     Publication Date:  2009  
Date Detail:
Created Date:  2008-10-24     Completed Date:  2009-03-05     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0076033     Medline TA:  Prog Neurol Surg     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  182-90     Citation Subset:  IM    
Department of Neurosurgery, Neurological Institute, Tokyo Women's Medical University, Tokyo, Japan.
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MeSH Terms
Follow-Up Studies
Magnetic Resonance Imaging
Postoperative Complications
Radiation Dosage
Radiotherapy Planning, Computer-Assisted*
Retrospective Studies
Treatment Outcome
Trigeminal Nerve / pathology,  surgery*
Trigeminal Neuralgia / pathology,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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