Neurosurgical perspectives on trigeminal neuralgia:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
1997
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| Schriftenreihe: | Neurosurgery clinics of North America
8,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | IX, 133 S. Ill., graph. Darst. |
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| 245 | 1 | 0 | |a Neurosurgical perspectives on trigeminal neuralgia |c Jeffrey A. Brown, guest ed. |
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Datensatz im Suchindex
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| adam_text | NEUROSURGICAL PERSPECTIVES ON TRIGEMINAL NEURALGIA
CONTENTS
Preface xi
Jeffrey A. Brown, MD
The Trigeminal Complex: Anatomy and Physiology 1
Jeffrey A. Brown
The many procedures performed for the treatment of trigeminal neuralgia
require an extensive knowledge of the brainstem and spinal nuclei anatomy
and physiology, their projections, central and peripheral connections, the
trigeminal autonomic elements, and autonomic effects of trigeminal injury.
Recent advances in the understanding of the anatomy and physiology com¬
plex as presented in the neuroscience literature are reviewed.
Microvascular Decompression for Trigeminal Neuralgia: Surgical
Technique and Long Term Results 11
Thomas J. Lovely and Peter J. Jannetta
Microvascular decompression of cranial nerve V has become a well accepted
surgical treatment for trigeminal neuralgia. It has the advantage of excellent
long term success rates without relying on the production of a neurologic
deficit.
Treatment of Trigeminal Neuralgia by Percutaneous Radiofrequency
Rhizotomy 31
Jamal M. Taha and John M. Tew, Jr
Percutaneous radiofrequency rhizotomy (PSR) is recognized as a simple,
effective, and safe surgical treatment for trigeminal neuralgia. Rates of pain
recurrence after PSR are the lowest versus those of other percutaneous
procedures, and similar to those of microvascular decompression.
Radiofrequency Treatment of Trigeminal Neuralgia Using a
Cordotomy Type Electrode: A Method 41
G. Robert Nugent
A specific technique for treating trigeminal neuralgia with radiofrequency
thermocoagulation uses a small electrode which allows the lesion to be
NEUROSURGERY CLINICS OF NORTH AMERICA
VOLUME 8 • NUMBER 1 • JANUARY 1997 VII
made behind the ganglion in the retro gasserian rootlets where little pain
is produced and the patient can be treated while awake. On line monitoring
during the lesioning with this electrode permits accurate control over the
location and extent of the numbness in the face. This technique yields a
very high incidence of patient satisfaction and a very low incidence of
annoying dysesthesias in the face and corneal sensory loss.
Percutaneous Balloon Compression of the Trigeminal Nerve 53
Jeffrey A. Brown and Jan J. Gouda
Balloon compression is a simple and effective percutaneous approach for
the treatment of classic trigeminal neuralgia or trigeminal neuralgia second¬
ary to multiple sclerosis. The operation injures large myelinated fibers,
removing the trigger to the presumed ephaptic transmission of pain.
Because unmyelinated fibers, which mediate the corneal reflex, are pre¬
served, compression may be of advantage in the treatment of first division
pain, since the corneal reflex is mediated by the small unmyelinated fibers.
In the author s series of 141 consecutive patients treated by balloon compres¬
sion, overall recurrence rate was 26%, with 80% of patients experiencing
mild numbness postoperatively.
Percutaneous Retrogasserian Glycerol Rhizotomy: Current Technique
and Results 63
Hae Dong Jho and L. Dade Lunsford
Despite the establishment of the vasculoneural compression as a frequent
cause of trigeminal neuralgia, minimally invasive surgical techniques to
treat medically refractory trigeminal neuralgia are needed in order to mini¬
mize the risks associated with craniotomy. Percutaneous retro gasserian
glycerol rhizotomy (PRGR) is one of the alternative surgical treatments to
microvascular decompression. Technical simplicity, less chance of trigemi¬
nal sensory loss, no need of intraoperative sensory testing, and no attempted
deliberate destruction of the trigeminal nerve are advantages over other
percutaneous trigeminal operations.
Leksell Gamma Knife Treatment of Tic Douloureux 75
Robert W. Rand
Stereotactic radiosurgery with the Leksell Gamma Knife under local anesthe¬
sia can effectively treat patients with recurrent tic douloureux after unsuc¬
cessful medical/surgical procedures. Eight of 12 patients have shown com¬
plete relief or improvement of their trigeminal neuralgia after 3 to 4 year
follow up. No complications have been observed, with the exception of 1
patient who developed a small area of radionecrosis in the medial tempo¬
ral lobe.
Gamma Knife Radiosurgery for Trigeminal Neuralgia 79
Douglas Kondziolka, L. Dade Lunsford, Michael Habeck,
and John C. Flickinger
Radiosurgery is one of the surgical treatments of trigeminal neuralgia.
Through precise irradiation of the proximal trigeminal nerve identified on
high resolution imaging, pain relief can be achieved after a short latency
interval. This image guided approach has been useful for both patients with
persistent pain after other surgeries, and as a primary surgical option. A
minimum dose of 70 Gy delivered with the gamma knife has been associated
with low risk for facial numbness, and no other morbidity. Management
of trigeminal neuralgia without an incision, transfacial needle placement or
nerve section may prove useful to increasing numbers of patients.
viii CONTENTS
Atypical Facial Pain and Other Pain Syndromes: Differential Diagnosis
and Treatment 87
Jan J. Gouda and Jeffrey A. Brown
Knowledge of each differential diagnosis of prosopalgia is important to any
neurosurgeon who treats facial pain. Pain control is possible with treatment
specific to the diagnosis, including those forms of facial pain known to be
the most difficult to treat. An outline for the management of atypical facial
pain, anesthesia dolorosa, and postherpetic neuralgia is presented with a
review of the correlative anatomy for each surgical procedure.
Special Article
Trigeminal Neuropathy 103
J. Kevin De Marco and John R. Hesselink
This article is reprinted from Neuroimaging Clinics of North America, volume
3, February 1993; pp 105 128.
Index 131
Subscription Information Inside back cover
CONTENTS IX
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| spelling | Neurosurgical perspectives on trigeminal neuralgia Jeffrey A. Brown, guest ed. Philadelphia [u.a.] Saunders 1997 IX, 133 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Neurosurgery clinics of North America 8,1 Névralgie essentielle du trijumeau Trigeminal Neuralgia surgery Trigeminusneuralgie (DE-588)4117248-6 gnd rswk-swf Chirurgie (DE-588)4009987-8 gnd rswk-swf (DE-588)4143413-4 Aufsatzsammlung gnd-content Trigeminusneuralgie (DE-588)4117248-6 s Chirurgie (DE-588)4009987-8 s DE-604 Brown, Jeffrey A. Sonstige oth Neurosurgery clinics of North America 8,1 (DE-604)BV002758938 8,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=007519860&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
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| title | Neurosurgical perspectives on trigeminal neuralgia |
| title_auth | Neurosurgical perspectives on trigeminal neuralgia |
| title_exact_search | Neurosurgical perspectives on trigeminal neuralgia |
| title_full | Neurosurgical perspectives on trigeminal neuralgia Jeffrey A. Brown, guest ed. |
| title_fullStr | Neurosurgical perspectives on trigeminal neuralgia Jeffrey A. Brown, guest ed. |
| title_full_unstemmed | Neurosurgical perspectives on trigeminal neuralgia Jeffrey A. Brown, guest ed. |
| title_short | Neurosurgical perspectives on trigeminal neuralgia |
| title_sort | neurosurgical perspectives on trigeminal neuralgia |
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