Influence of previous treatment on outcome after glycerol rhizotomy for trigeminal neuralgia.

Abstract:

:The aim of the present study was to evaluate the influence of previous treatment on outcome and sensory disturbance after a retrogasserian glycerol injection for trigeminal neuralgia. Ninety-nine patients with trigeminal neuralgia underwent a retrogasserian glycerol rhizotomy. Fifty-three of those patients experienced recurrent pain after the previous treatment. At the 1 year follow-up, the outcome was excellent or good in 83% of patients with no previous treatment, compared with 60 and 75% in those patients with earlier glycerol injections or radiofrequency lesions, respectively. Quantitatively assessed, the sensory impairment was most pronounced in patients who had earlier radio-frequency lesions compared with patients not treated previously. The occurrence of dysesthesia was more frequent in patients who had been surgically treated earlier. A review of the literature showed that the concentration of the glycerol preparation used probably is of great importance in terms of pain relief and sensory sequelae.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Bergenheim AT,Hariz MI

doi

10.1227/00006123-199502000-00009

subject

Has Abstract

pub_date

1995-02-01 00:00:00

pages

303-9; discussion 309-10

issue

2

eissn

0148-396X

issn

1524-4040

journal_volume

36

pub_type

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