Are the destructive neurosurgical techniques as effective as microvascular decompression in the management of trigeminal neuralgia?

Laghmari, Mehdi; Ouahabi, Abdessamad El; Arkha, Yasser; Derraz, S.; Khamlichi, Abdeslam El

doi:10.1016/j.surneu.2006.11.066

Cited by 29 publications

(29 citation statements)

References 32 publications

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“…These results were comparable to some recently reported findings [18] . Our data and previous studies suggested that the success of RFT was similar to those of MVD [19] . When there is no vascular compression, a slight neurapraxia at trigeminal root is an effective management option [20] , which is similar to RFT.…”

Section: Discussionsupporting

confidence: 87%

Percutaneous radiofrequency thermocoagulation for the treatment of different types of trigeminal neuralgia: Evaluation of quality of life and outcomes

Huang

et al. 2010

J. Huazhong Univ. Sci. Technol. [Med. Sci.]

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Radiofrequency thermocoagulation (RFT) of the gasserian ganglion is a routine and effective technique for the treatment of classical trigeminal neuralgia (CTN). In this study we compared its efficacy in patients with CTN and atypically symptomatic or mixed trigeminal neuralgia (MTN). Fifty-seven patients were treated with RFT for trigeminal neuralgia from June 2006 to February 2009. Thirty patients had CTN, and 27 had MTN. Outcomes were measured by using the visual analog pain scale (VAS) and patients' reports of quality of life (QOL), medication usage, and complications over a follow-up period of up to 3 years. Our results showed that the patients with MTN were younger, tended to have bilaterial involvement of the first division, and were unresponsive to treatment. All surgeries were completed smoothly. About 86.7% CTN patients and 48.1% MTN patients responded immediately to RFT. The VAS scores were significantly higher in the CTN group than in MTN group (P<0.05). Kaplan-Meier curves showed that 1-year, 2-year, and 3-year pain relief rates were 76.7%, 73.3%, and 73.3% in the CTN group and 46.6%, 41.4%, and 41.4% in the MTN group, respectively. The rates of pain relief for both groups leveled off at 2 years. Complications included numbness, dysesthesia, and anesthesia dolorosa. RFT did not cause any deaths and complications were low. The treatment was very effective for CTN and, to some degrees, effective for MTN. If numbness, dysesthesia, and anesthesia dolorosa are limited to the trigger area, QOL will be greatly improved.

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Section: Discussionsupporting

confidence: 87%

Percutaneous radiofrequency thermocoagulation for the treatment of different types of trigeminal neuralgia: Evaluation of quality of life and outcomes

Huang

et al. 2010

J. Huazhong Univ. Sci. Technol. [Med. Sci.]

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“…Microvascular decompression is a major neurosurgical procedure requiring full anaesthesia and a 5-day hospital stay (Ashkan and Marsh, 2004). Some of these invasive surgical treatments are not recommended for the elderly or patients with associated comorbidities (Laghmari et al, 2007).…”

Section: Discussionmentioning

confidence: 99%

“…Maximum doses of bupivacaine are 150e225 mg every 3 h or 400 mg every 24 h (Laghmari et al, 2007). Symreng et al reported that serum levels of bupivacaine reached 0.44e1.5 mg mL À1 after a bolus dose of 20 mL of 0.25% bupivacaine.…”

Section: Discussionmentioning

confidence: 99%

Treatment of trigeminal neuralgia with bupivacaine HCL using a temporary epidural catheter and pain pump: Preliminary study

Dergin

Göçmen

Sener

2012

Journal of Cranio-Maxillofacial Surgery

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“…Oresković and Klarica 7 in their review noted 4 of 6 MRI studies in which the CSF formation rate was elevated above accepted figures and found a range of between 1.5 and 3 times normal for this metric. Penn et al 8 quote a study by Kim et al 6 who found a net aqueduct stroke volume of 30.1 ml per cycle. Unfortunately, Kim et al do not indicate the average heart rate in their study but at a heart rate of 60 BPM this would equate to a CSF formation rate of 2600 ml/day.…”

Section: Normal Pressure Hydrocephalusmentioning

confidence: 97%

“…to the editor: I read with great interest the paper by Penn et al 8 . As part of their study, the authors measured the CSF net flow rate through the aqueduct in 2 patients with normal pressure hydrocephalus (NPH) before and after shunt insertion and compared the findings with findings in 8 controls.…”

Section: Normal Pressure Hydrocephalusmentioning

confidence: 99%

Letter to the Editor: Wrong-site craniotomy

Kanat

2013

JNS

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article 52 patients with advanced Parkinson disease (PD) were randomized to receive deep brain stimulation (DBS) to the subthalamic nucleus (STN) or the globus pallidus internus (GPi); complete data sets were available in 44 of the patients. All cases were started with unilateral implantation, and the patients were offered the choice of a contralateral implantation after 6 months based on inadequacy to address motor symptoms.In the last sentence of the Results section, the following result was mentioned: "For each 1% increase in asymmetry in the baseline off-medication UPDRS [Unified Parkinson's Disease Rating Motor Scale]-III score, the odds of receiving bilateral DBS decreased by a factor of 0.96." That result is congruent with the data presented in Tables 3 and 4. It is also similar to the second sentence in the Conclusions: "There was a strong association between the degree of asymmetry in each patient's PD and the preference for unilateral DBS." However, those correct statements are contradicted in the Abstract. The last line in the Results section of the Abstract is "For every 1% increase in asymmetry, the odds of bilateral DBS increased by 0.96," whereas I believe it was meant to be "… decreased by 0.96." University of Virginia Health SystemCharlottesville, VA DisclosureThe author reports no conflict of interest. reSponSe: Dr. Khaled has correctly pointed out that in our article there is a contradiction between text in the last sentence of the Results in the paper and the corresponding text in the Results section of the Abstract. The text in the Abstract is incorrect and should read "For every 1% increase in asymmetry, the odds of bilateral DBS decreased by 0.96." The data contained in the Results and Conclusions in the paper are correct.We thank Dr. Khaled for pointing out this error.houtan a. taba, M.d.

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Are the destructive neurosurgical techniques as effective as microvascular decompression in the management of trigeminal neuralgia?

Cited by 29 publications

References 32 publications

Percutaneous radiofrequency thermocoagulation for the treatment of different types of trigeminal neuralgia: Evaluation of quality of life and outcomes

Percutaneous radiofrequency thermocoagulation for the treatment of different types of trigeminal neuralgia: Evaluation of quality of life and outcomes

Treatment of trigeminal neuralgia with bupivacaine HCL using a temporary epidural catheter and pain pump: Preliminary study

Letter to the Editor: Wrong-site craniotomy

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