Radiofrequency trigeminal rhizolysis for the treatment of trigeminal neuralgia secondary to brainstem infarction
| Autor: | Robert M. Levy, Scott Heller, Martin D. Herman, Mina Foroohar |
|---|---|
| Rok vydání: | 1997 |
| Předmět: |
medicine.medical_specialty
Percutaneous business.industry Multiple sclerosis medicine.medical_treatment Spinal trigeminal nucleus Chronic pain Rhizotomy General Medicine medicine.disease nervous system diseases Surgery body regions medicine.anatomical_structure Trigeminal neuralgia Brainstem infarction Anesthesia medicine Idiopathic trigeminal neuralgia Neurology (clinical) business |
| Zdroj: | Neurosurgical Focus. 2:E8 |
| ISSN: | 1092-0684 |
| DOI: | 10.3171/foc.1997.2.1.9 |
| Popis: | Although percutaneous radiofrequency trigeminal rhizolysis (RFL) has been used to treat idiopathic trigeminal neuralgia thought secondary to multiple sclerosis, the use of RFL for trigeminal neuralgia caused by brainstem infarction has not been advocated. The authors report two patients with trigeminal neuralgia following pontine infarction in whom aggressive medical management failed, but who were successfully treated with RFL. Pain relief has persisted for the 3- and 6-year duration of follow-up examinations. Descending trigeminal reticular fibers may be affected by brainstem infarction and result in trigeminal neuralgia; thus, treatment by rhizotomy may be effective in decreasing the peripheral afferent input into the spinal trigeminal nucleus thus decreasing the pain. These two cases demonstrate the utility of RFL in the relief of ischemia-induced trigeminal neuralgia and lead the authors to suggest that its use be broadened to include this indication. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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