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Histological effects of trigeminal nerve radiosurgery in a primate model: implications for trigeminal neuralgia radiosurgery.

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OBJECTIVE Stereotactic radiosurgical treatment of the proximal trigeminal nerve is used to relieve the pain of trigeminal neuralgia. The mechanism of the radiosurgical effect is not understood. METHODS Two adult baboons underwent stereotactic magnetic resonance imaging-guided radiosurgery, using a

[Methods of reducing the number of complications and relapses after microvascular decompression in patients with trigeminal neuralgia].

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Techniques and methods of preventing the disease relapses and possible postoperative complications, e.g. vestibuloatactic syndrome, impairment or loss of hearing, paresis of the mimic muscles, syndrome of intracranial hypotension etc., are suggested on the basis of an analysis of results of 94

[Management of trigeminal neuralgia by microvascular decompression].

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The experience with a series of 28 posterior fossa exploration and microvascular decompression for trigeminal neuralgia is presented. All the patients were treated with carbamazepine previously and some of them were operated on by destructive methods. The diagnostic work-up consisted of an accurate

Use of Superior Petrosal Venous Complex to Transpose the Superior Cerebellar Artery in Microvascular Decompression for Trigeminal Neuralgia: 2-dimensional operative video

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Trigeminal neuralgia is a cause of severe facial pain, usually provoked by a neurovascular conflict, commonly involving the superior cerebellar artery (SCA).¹ The superior petrosal venous complex is in the way toward the nerve through a retrosigmoid approach and can narrow the working

Diffusion Tensor Imaging of Axonal and Myelin Changes in Classical Trigeminal Neuralgia.

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OBJECTIVE Trigeminal neuralgia (TN) is commonly associated with pathologic factors of axonopathy and demyelination resulting from neurovascular compression at the trigeminal root entry zone (REZ). Decompression surgery can relieve TN pain, likely by resolving such structural abnormalities. To test

[Endoscopic microvacular decompression for trigeminal neuralgia].

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OBJECTIVE To explore the feasibility, operating technique and precautions of endoscopic microvascular decompression for trigeminal neuralgia. METHODS A retrospective analysis was conducted for 21 patients with primary trigeminal neuralgia. All underwent neuroendoscopic microvascular decompression

Microvascular decompression for trigeminal neuralgia: a critical reappraisal.

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The results of posterior fossa explorations for trigeminal neuralgia over the period 1980-1990 in 58 patients and in 59 procedures were studied retrospectively. In 51 procedures vascular compression was treated by microvascular decompression (MVD). In the absence of such a compression, partial

Linear accelerator stereotactic radiosurgery for trigeminal neuralgia.

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BACKGROUND Stereotactic radiosurgery is accepted as an alternative for patients with refractory trigeminal neuralgia, but existing evidence is fundamentally based on the Gamma Knife, which is a specific device for intracranial neurosurgery, available in few facilities. Over the last decade it has

Simultaneous Treatment of Petroclival Meningiomas and the Trigeminal Nerve with Gamma Knife Radiosurgery for Tumor-Related Trigeminal Neuralgia.

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Some petroclival meningiomas cause trigeminal nerve compression leading to disabling trigeminal neuralgia. Tumor resection and nerve decompression can offer pain relief but may not be feasible in all patients. Simultaneous stereotactic radiosurgery (SRS) to the tumor and nerve is

Trigeminal neuralgia in two patients with glioblastoma.

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Headache in glioblastoma patients often indicates raised intracranial pressure by either tumor edema or tumor progression. We report local glioblastoma growth causing cranial nerve lesions as well as trigeminal neuralgia, and highlight pain management in these patients.

Management of petrosal veins during microvascular decompression for trigeminal neuralgia.

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OBJECTIVE Venous compression might be the main cause of incomplete decompression and symptom recurrence after microvascular decompression (MVD) in patients with trigeminal neuralgia. Although it can be killed in most cases, cutting the vein sometimes has the potential risk arising from venous

Diffusion tensor imaging for assessment of microstructural changes associate with treatment outcome at one-year after radiofrequency Rhizotomy in trigeminal neuralgia.

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Trigeminal neuralgia (TN) is characterized by facial pain that may be sudden, intense, and recurrent. Neurosurgical interventions, such as radiofrequency rhizotomy, can relieve TN pain, but their mechanisms and effects are unknown. The aim of the present study was to investigate the

Abnormal trigeminal nerve microstructure and brain white matter in idiopathic trigeminal neuralgia.

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Idiopathic trigeminal neuralgia (TN) is classically associated with neurovascular compression (NVC) of the trigeminal nerve at the root entry zone (REZ), but NVC-induced structural alterations are not always apparent on conventional imaging. Previous studies report lower fractional anisotropy (FA)

[Electroencephalographic findings and occurence of seizures after surgery of the Gasserian ganglion].

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The results of EEG investigations after Spiller-Frazier's operation for trigeminal neuralgia in 112 patients are reported. Follow-up EEGs were recorded within 1-8 years after surgery; two to three follow-up tracings were available in 53 patients. Two distinct phases of EEG alterations were noted: 1)

The use of botulinum toxin for the treatment of chronic facial pain.

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An open label pilot study was conducted to evaluate efficacy of botulinum toxin injections for the treatment of patients with chronic facial pain seeking tertiary care at a pain clinic. Diagnoses included temporomandibular joint syndrome, postsurgical pain syndromes, essential headache, and

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