当前位置： SCI文献检索 > NEUROSURGERY期刊下所有文献 > Comparison of surgical treatments for trigeminal neuralgia: reevaluation of radiofrequency rhizotomy.

Comparison of surgical treatments for trigeminal neuralgia: reevaluation of radiofrequency rhizotomy.

Abstract：

:In this study, we reevaluate the results of radiofrequency rhizotomy and review the effectiveness of other surgical procedures for the treatment of trigeminal neuralgia. Five hundred patients with trigeminal neuralgia underwent radiofrequency rhizotomy at the University of Cincinnati Medical Center, Cincinnati, OH, between 1981 and 1986. Their results are compared with those of patients reported in the literature who underwent radiofrequency rhizotomy (6205 patients), glycerol rhizotomy (1217 patients), balloon compression (759 patients), microvascular decompression (MVD) (1417 patients), and partial trigeminal rhizotomy (250 patients). Comparisons were based on the following outcome parameters: technical success, pain relief and recurrence, facial numbness, dysesthesia, corneal anesthesia, keratitis, trigeminal motor dysfunction, permanent cranial nerve deficit, intracranial hemorrhage or infarction, perioperative morbidity, and perioperative mortality. We found that MVD had the lowest rate of technical success. Radiofrequency rhizotomy and MVD had the highest rates of initial pain relief and the lowest rates of pain recurrence. Glycerol rhizotomy had the highest rate of pain recurrence. Balloon compression had the highest rate of trigeminal motor dysfunction. Balloon compression and MVD had the lowest rates of corneal anesthesia or keratitis. MVD had the lowest rates of facial numbness and dysesthesia. All percutaneous procedures had similar rates of dysesthesia. Posterior fossa exploration had the highest rates of permanent cranial nerve deficit, intracranial hemorrhage or infarction, and perioperative morbidity and mortality. On the basis of our experience and a review of the literature, we conclude the following: 1) percutaneous techniques and posterior fossa exploration offer advantages and disadvantages, 2) radiofrequency rhizotomy is the procedure of choice for most patients undergoing first surgical treatments, and 3) MVD is recommended for healthy patients who have isolated pain in the first ophthalmic trigeminal division or in all three trigeminal divisions and patients who desire no sensory deficit.

journal_name

Neurosurgery

journal_title

Neurosurgery

authors

Taha JM,Tew JM Jr

doi

10.1097/00006123-199605000-00001

subject

Has Abstract

pub_date

1996-05-01 00:00:00

pages

865-71

issue

5

eissn

0148-396X

issn

1524-4040

journal_volume

38

pub_type

杂志文章

相关文献

NEUROSURGERY文献大全
  • Association of Surgical Overlap during Wound Closure with Patient Outcomes among Neurological Surgery Patients at a Large Academic Medical Center.

    abstract：BACKGROUND:Several studies have explored the effect of overlapping surgery on patient outcomes, but impact of surgical overlap during wound closure has not been studied. OBJECTIVE:To examine the association of overlap during wound closure and suture time overlap (STO) with patient outcomes in a heterogeneous neurosurg...

    journal_title：Neurosurgery

    pub_type： 杂志文章,多中心研究

    doi：10.1093/neuros/nyz142

    authors： Glauser G,Agarwal P,Ramayya AG,Chen HI,Lee JYK,Schuster JM,Osiemo B,Goodrich S,Smith LJ,McClintock SD,Malhotra NR

    更新日期：2019-11-01 00:00:00

  • Thoracolumbar Junction Orientation: A Novel Guide for Sagittal Correction and Proximal Junctional Kyphosis Prediction in Adult Spinal Deformity Patients.

    abstract：BACKGROUND:Novel radiographic sagittal parameters of the thoracolumbar junction orientation (TLJO, thoracolumbar slope [TLS] and thoracolumbar tilt [TLT]) have been introduced and correlated with lumbopelvic parameters and thoracic kyphosis. OBJECTIVE:To determine a predictive model for reciprocal thoracic kyphosis an...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1093/neuros/nyaa311

    authors： Moon HJ,Bridwell KH,Theologis AA,Kelly MP,Lertudomphonwanit T,Lenke LG,Gupta MC

    更新日期：2020-12-15 00:00:00

  • Analysis of intraoperative rupture in the surgical treatment of 1694 saccular aneurysms.

    abstract：OBJECTIVE:Intraoperative rupture (IOR) of an aneurysm is a known risk in the surgical management of intracranial aneurysms. The purpose of this study was to determine the incidence of IOR in a modern surgical series and to assess which factors bear upon it. METHODS:This study retrospectively examined 1269 patients wit...

    journal_title：Neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1227/01.neu.0000154697.75300.c2

    authors： Leipzig TJ,Morgan J,Horner TG,Payner T,Redelman K,Johnson CS

    更新日期：2005-03-01 00:00:00

  • Familial colloid cyst of the third ventricle: case report and review of associated conditions.

    abstract：:The cases of a father and his son who were diagnosed with pathologically confirmed colloid cysts of the third ventricle are presented. The familial occurrence of this tumor is rare and suggests that genetic factors may play a role in its formation. Consistent with the concept that the cyst originates as a developmenta...

    journal_title：Neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1097/00006123-199602000-00033

    authors： Akins PT,Roberts R,Coxe WS,Kaufman BA

    更新日期：1996-02-01 00:00:00

  • Xanthogranuloma of the sciatic nerve: case report.

    abstract：OBJECTIVE AND IMPORTANCE:Xanthogranulomas involving the central or peripheral nervous system are extraordinarily rare. None have been reported in the lower extremity. Here, we report and characterize the first case of xanthogranuloma of the sciatic nerve. CLINICAL PRESENTATION:A 58-year-old woman presented with poorly...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：

    authors： Patil PG,Cummings TJ,Nunley JA,Friedman AH

    更新日期：2004-12-01 00:00:00

  • Feasibility of radiosurgery for malignant brain tumors in infants by use of image-guided robotic radiosurgery: preliminary report.

    abstract：OBJECTIVE:The benefits of radiation therapy are generally denied to infants with malignant brain tumors because of the risk of devastating cognitive decline. Efforts to limit this morbidity with radiosurgical techniques have not been feasible for infants because of the dual requirements of rigid head fixation and high ...

    journal_title：Neurosurgery

    pub_type： 杂志文章,多中心研究

    doi：10.1227/01.neu.0000137332.03970.57

    authors： Giller CA,Berger BD,Gilio JP,Delp JL,Gall KP,Weprin B,Bowers D

    更新日期：2004-10-01 00:00:00

  • Suprasellar Rathke cleft cysts: clinical presentation and treatment outcomes.

    abstract：BACKGROUND:Rathke cleft cysts (RCCs), benign remnants of the Rathke pouch typically arising in the sella, sometimes have suprasellar extension. Purely suprasellar RCCs are rarely reported. OBJECTIVE:To compare the presentations, surgical outcomes, and pathology of purely suprasellar RCCs and sellar-based RCCs. METHOD...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1227/NEU.0b013e318228bcea

    authors： Potts MB,Jahangiri A,Lamborn KR,Blevins LS,Kunwar S,Aghi MK

    更新日期：2011-11-01 00:00:00

  • The Role of Extent of Resection in IDH1 Wild-Type or Mutant Low-Grade Gliomas.

    abstract：BACKGROUND:Maximizing extent of resection (EOR) improves outcomes in adults with World Health Organization (WHO) grade II low-grade gliomas (LGG). However, recent studies demonstrate that LGGs bearing a mutation in the isocitrate dehydrogenase 1 (IDH1) gene are a distinct molecular and clinical entity. It remains uncle...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1093/neuros/nyx265

    authors： Patel T,Bander ED,Venn RA,Powell T,Cederquist GY,Schaefer PM,Puchi LA,Akhmerov A,Ogilvie S,Reiner AS,Moussazadeh N,Tabar V

    更新日期：2018-06-01 00:00:00

  • Glioma immunology and immunotherapy.

    abstract：OBJECTIVE:Despite advances in conventional therapy, the prognosis for most glioma patients remains dismal. This has prompted an intensive search for effective treatment alternatives. Immunotherapy, one such alternative, has long been recognized as a potentially potent cancer treatment but has been limited by an inadequ...

    journal_title：Neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1097/00006123-200004000-00002

    authors： Parney IF,Hao C,Petruk KC

    更新日期：2000-04-01 00:00:00

  • Geographic and Hospital Variation in Cost of Lumbar Laminectomy and Lumbar Fusion for Degenerative Conditions.

    abstract：BACKGROUND:Spinal surgery costs vary significantly across hospitals and regions, but there is insufficient understanding of what drives this variation. OBJECTIVE:To examine the factors underlying the cost variation for lumbar laminectomy/discectomy and lumbar fusions. METHODS:We obtained patient information (age, gen...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1093/neuros/nyx047

    authors： Zygourakis CC,Liu CY,Wakam G,Moriates C,Boscardin C,Ames CP,Mummaneni PV,Ratliff J,Dudley RA,Gonzales R

    更新日期：2017-08-01 00:00:00

  • Angiographic detection and characterization of "cryptic venous anomalies" associated with spinal cord cavernous malformations using flat-panel catheter angiotomography.

    abstract：BACKGROUND:Spinal cord cavernous malformations (CMs) are associated with 2 types of angiographically occult "cryptic venous anomalies," which differ in location with respect to the spinal cord. The anatomic distinction between superficial and intramedullary is important in that the latter heighten the risks of CM resec...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1227/NEU.0b013e31825d8f9a

    authors： Pearl MS,Chen JX,Gregg L,San Millàn D,Belzberg A,Jallo G,Gailloud P

    更新日期：2012-09-01 00:00:00

  • Pyriformis syndrome in a 10-year-old boy as a complication of operation with the patient in the sitting position.

    abstract：:We present a case of sciatic neuropathy due to the pyriformis syndrome after operation in the sitting position. Neither sciatic nerve injury nor the pyriformis syndrome has been reported after operation in the sitting position, although a low incidence of common peroneal nerve injury has been reported as a complicatio...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1227/00006123-198807000-00023

    authors： Brown JA,Braun MA,Namey TC

    更新日期：1988-07-01 00:00:00

  • Fatal phenytoin-related toxic epidermal necrolysis: case report.

    abstract：:Toxic epidermal necrolysis is a rare but often fatal hypersensitivity reaction to numerous agents, including most anticonvulsants. The authors present a case of fatal phenytoin-related toxic epidermal necrolysis in a patient who was given prophylactic anticonvulsant therapy after he sustained a moderately severe close...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1097/00006123-198912000-00022

    authors： Kelly DF,Hope DG

    更新日期：1989-12-01 00:00:00

  • Intraventricular cavernous hemangioma: report of three cases and review of the literature.

    abstract：:The clinical and radiographic presentations of 3 patients with intraventricular cavernous hemangioma are described. The accumulated total of 19 cases from the literature are compared to determine whether there is a common clinical and radiographic presentation for this benign intraventricular lesion. The differential ...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1227/00006123-198502000-00011

    authors： Chadduck WM,Binet EF,Farrell FW Jr,Araoz CA,Reding DL

    更新日期：1985-02-01 00:00:00

  • Endoscopic third ventriculostomy in pediatric patients: the Canadian experience.

    abstract：OBJECTIVE:Reports from relatively small series of pediatric patients predominantly from single centers have hampered accurate analysis of outcome from endoscopic third ventriculostomy. We combined patients from nine pediatric neurosurgery centers across Canada to obtain a better estimate of outcome and identify factors...

    journal_title：Neurosurgery

    pub_type： 杂志文章,多中心研究

    doi：10.1227/01.NEU.0000255420.78431.E7

    authors： Drake JM,Canadian Pediatric Neurosurgery Study Group.

    更新日期：2007-05-01 00:00:00

  • After 9 Years of 3-Column Osteotomies, Are We Doing Better? Performance Curve Analysis of 573 Surgeries With 2-Year Follow-up.

    abstract：BACKGROUND:In spinal deformity treatment, the increased utilization of 3-column (3CO) osteotomies reflects greater comfort and better training among surgeons. This study aims to evaluate the longitudinal performance and adverse events (complications or revisions) for a multicenter group following a decade of 3CO. OBJE...

    journal_title：Neurosurgery

    pub_type： 杂志文章,多中心研究

    doi：10.1093/neuros/nyx338

    authors： Diebo BG,Lafage V,Varghese JJ,Gupta M,Kim HJ,Ames C,Kebaish K,Shaffrey C,Hostin R,Obeid I,Burton D,Hart RA,Lafage R,Schwab FJ,International Spine Study Group (ISSG) of Denver, Colorado.

    更新日期：2018-07-01 00:00:00

  • Angiotensin converting enzyme inhibition for arterial hypertension reduces the risk of recurrence in patients with chronic subdural hematoma possibly by an antiangiogenic mechanism.

    abstract：OBJECTIVE:Chronic subdural hematoma (CSH) is characterized by pathological vascularization of the parietal membrane. Plasma leakage from immature vessels may be involved in hematoma enlargement and recurrence. We tested the hypothesis that the antiangiogenic side-effect of angiotensin converting enzyme (ACE)-inhibitor ...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1227/01.NEU.0000298907.56012.E8

    authors： Weigel R,Hohenstein A,Schlickum L,Weiss C,Schilling L

    更新日期：2007-10-01 00:00:00

  • Market-Based Health Care in Specialty Surgery: Finding Patient-Centered Shared Value.

    abstract：:: The US health care system is struggling with rising costs, poor outcomes, waste, and inefficiency. The Patient Protection and Affordable Care Act represents a substantial effort to improve access and emphasizes value-based care. Value in health care has been defined as health outcomes for the patient per dollar spen...

    journal_title：Neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1227/NEU.0000000000000879

    authors： Smith TR,Rambachan A,Cote D,Cybulski G,Laws ER

    更新日期：2015-10-01 00:00:00

  • Surgical management of posterior fossa arteriovenous malformations.

    abstract：OBJECTIVE:Arteriovenous malformations (AVMs) involving the cerebellum and brainstem are relatively rare lesions that most often present clinically as a result of a hemorrhagic episode. Although these AVMs were once thought to have a more aggressive clinical course in comparison with supratentorial AVMs, recent autopsy ...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1227/01.NEU.0000204641.38419.2D

    authors： Sinclair J,Kelly ME,Steinberg GK

    更新日期：2006-04-01 00:00:00

  • Stretch-associated injury in cervical spondylotic myelopathy: new concept and review.

    abstract：:The simple pathoanatomic concept that a narrowed spinal canal causes compression of the enclosed cord, leading to local tissue ischemia, injury, and neurological impairment, fails to explain the entire spectrum of clinical findings observed in cervical spondylotic myelopathy. A growing body of evidence indicates that ...

    journal_title：Neurosurgery

    pub_type： 杂志文章,评审

    doi：

    authors： Henderson FC,Geddes JF,Vaccaro AR,Woodard E,Berry KJ,Benzel EC

    更新日期：2005-05-01 00:00:00

  • Tension pneumocephalus after clipping of a carotid-ophthalmic artery aneurysm via an interhemispheric approach: case report.

    abstract：:A case of postoperative tension pneumocephalus of unusual cause after carotid-ophthalmic artery aneurysm clipping is presented. A second craniotomy for decompression and exploration demonstrated a small fistula in the planum sphenoidale, which presumably had been made when the right optic canal was unroofed during the...

    journal_title：Neurosurgery

    pub_type： 杂志文章,评审

    doi：10.1227/00006123-198811000-00020

    authors： Asai A,Yamada H,Tsutsumi K,Takakura K

    更新日期：1988-11-01 00:00:00

  • Aneurysms of the distal anterior cerebral artery and associated vascular anomalies.

    abstract：:Between July 1975 and July 1985, 20 patients with 24 congenital distal anterior cerebral artery (DACA) aneurysms were admitted to our institution and underwent microsurgical clipping of their aneurysms. This group composes 4% of the 588 aneurysms managed surgically during this period. The clinical presentations includ...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1227/00006123-198705000-00011

    authors： Wisoff JH,Flamm ES

    更新日期：1987-05-01 00:00:00

  • Angles between A1 and A2 segments of the anterior cerebral artery visualized by three-dimensional computed tomographic angiography and association of anterior communicating artery aneurysms.

    abstract：OBJECTIVE:The angle of arteries at bifurcations, as well as the blood flow, are factors of hemodynamic stress on the apical region, where aneurysms often develop. Using images obtained with three-dimensional computed tomographic angiography, we sought to determine the angles between the A1 and A2 segments of the anteri...

    journal_title：Neurosurgery

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1097/00006123-199907000-00021

    authors： Kasuya H,Shimizu T,Nakaya K,Sasahara A,Hori T,Takakura K

    更新日期：1999-07-01 00:00:00

  • Elective stenting for intracranial stenosis under conscious sedation.

    abstract：BACKGROUND:Elective stenting for intracranial stenosis is under study as an effective means of reducing stroke risk. At most institutions, these procedures are performed and monitored after the induction of general anesthesia. OBJECTIVE:To report our success with elective intracranial stenting and angioplasty performe...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1227/NEU.0b013e3181efbcac

    authors： Chamczuk AJ,Ogilvy CS,Snyder KV,Ohta H,Siddiqui AH,Hopkins LN,Levy EI

    更新日期：2010-11-01 00:00:00

  • Hemifacial spasm caused by contralateral cerebellopontine angle meningioma: case report.

    abstract：:A large meningioma in the cerebellopontine angle manifested itself as a contralateral hemifacial spasm. On computed tomographic and magnetic resonance imaging scans, the brain stem was markedly displaced and distorted by the tumor. After total removal of the meningioma, the hemifacial spasm completely disappeared. ...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1227/00006123-199502000-00021

    authors： Rhee BA,Kim TS,Kim GK,Leem WL

    更新日期：1995-02-01 00:00:00

  • Vascular clamp-assisted clipping of thick-walled giant aneurysms.

    abstract：OBJECTIVE:The prognosis of giant aneurysms remains poor despite recent advances in microneurosurgery. Thick-walled and partially calcified giant aneurysms with an atheromatic base are difficult to clip safely. Special techniques allowing reshaping of the base and ensuring the stability of clips are often needed. We pre...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1227/01.NEU.0000330400.68015.88

    authors： Navratil O,Lehecka M,Lehto H,Dashti R,Kivisaari R,Niemelä M,Hernesniemi JA

    更新日期：2009-03-01 00:00:00

  • Intracarotid chemotherapy with 1,3-bis-(2-chloroethyl)-1-nitrosourea (BCNU) in 5% dextrose in water in the treatment of malignant glioma.

    abstract：:After radiotherapy, 20 patients, 18 with documented progression of malignant glioma and 2 with Grade II astrocytoma, received a total of 52 courses of intracarotid 1,3-bis-(2-chloroethyl)-1-nitrosourea (BCNU) at a dose of 150 mg/m2 dissolved in 5% dextrose in water. The patients were treated at 6-week intervals for a ...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1227/00006123-198704000-00012

    authors： Johnson DW,Parkinson D,Wolpert SM,Kasdon DL,Kwan ES,Laucella M,Anderson ML

    更新日期：1987-04-01 00:00:00

  • Design and Physical Properties of 3-Dimensional Printed Models Used for Neurointervention: A Systematic Review of the Literature.

    abstract：BACKGROUND:Three-dimensional (3D) printing has revolutionized training, education, and device testing. Understanding the design and physical properties of 3D-printed models is important. OBJECTIVE:To systematically review the design, physical properties, accuracy, and experimental outcomes of 3D-printed vascular model...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1093/neuros/nyaa134

    authors： Waqas M,Mokin M,Lim J,Vakharia K,Springer ME,Meess KM,Ducharme RW,Ionita CN,Nagesh SVS,Gutierrez LC,Snyder KV,Davies JM,Levy EI,Siddiqui AH

    更新日期：2020-09-15 00:00:00

  • Effect of nimodipine on cerebrovascular response to CO2 in asymptomatic individuals and patients with subarachnoid hemorrhage: a transcranial Doppler ultrasound study.

    abstract：:The cerebrovascular response to CO2 was evaluated by measuring relative changes in blood flow velocity within the middle cerebral artery by transcranial Doppler ultrasonography during normo-, hypo-, and hypercapnia. In seven patients without subarachnoid hemorrhage (five with unruptured arteriovenous malformations and...

    journal_title：Neurosurgery

    pub_type： 杂志文章

    doi：10.1097/00006123-199008000-00013

    authors： Seiler RW,Nirkko AC

    更新日期：1990-08-01 00:00:00

  • Improvement after cerebrospinal fluid drainage is related to levels of N-acetyl-aspartate in idiopathic normal pressure hydrocephalus.

    abstract：OBJECTIVE:This study uses proton magnetic resonance spectroscopy to investigate whether or not idiopathic normal pressure hydrocephalus is associated with neuronal dysfunction or ischemia in the brain. We evaluate whether or not proton magnetic resonance spectroscopy is useful for predicting improvement after long-term...

    journal_title：Neurosurgery

    pub_type： 临床试验,杂志文章

    doi：10.1227/01.NEU.0000311070.25992.05

    authors： Lenfeldt N,Hauksson J,Birgander R,Eklund A,Malm J

    更新日期：2008-01-01 00:00:00