Selectivity of retrogasserian glycerol rhizotomy in the treatment of trigeminal neuralgia.

Abstract:

:The possibility of obtaining a selective effect on different trigeminal branches by glycerol rhizotomy was studied in the treatment of trigeminal neuralgia. Transcutaneous electrical stimulation was used to quantify sensory impairment. An attempt was made to direct the neurotoxic effect by maintaining the patient's head in different positions during and after glycerol injection. The amount of glycerol injected varied according to the estimated size of the trigeminal cistern and/or to which branch that was involved. The study demonstrated a good selective effect on the ophthalmic branch, less selective on the maxillary, and a poorly selective effect on the mandibular branch. However, the clinical result following glycerol rhizotomy was equal regardless of the affected trigeminal branch.

authors

Bergenheim AT,Hariz MI,Laitinen LV

doi

10.1159/000099402

subject

Has Abstract

pub_date

1991-01-01 00:00:00

pages

159-65

issue

3

eissn

1011-6125

issn

1423-0372

journal_volume

56

pub_type

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