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trigeminal neuralgia treatment

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https://www.readbyqxmd.com/read/29351686/basilar-artery-ectasia-causing-trigeminal-neuralgia-an-evolved-technique-of-transpositional-suture-pexy
#1
Harminder Singh, Harley Brito da Silva, Mehdi Zeinalizadeh, Turki Elarjani, David Straus, Laligam N Sekhar
BACKGROUND: Microvascular decompression for patients with trigeminal neuralgia (TGN) is widely accepted as one of the modalities of treatment. The standard approach has been retrosigmoid suboccipital craniotomy with placement of a Teflon pledget to cushion the trigeminal nerve from the offending artery, or cauterize and divide the offending vein(s). However, in cases of severe compression caused by a large artery, the standard decompression technique may not be effective. OBJECTIVE: To describe a unique technique of vasculopexy of the ectatic basilar artery to the tentorium in a patient with TGN attributed to a severely ectatic and tortuous basilar artery...
February 1, 2018: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/29328001/gamma-knife-radiosurgery-of-saccular-aneurysms-in-a-rabbit-model
#2
Mark D Meadowcroft, Timothy K Cooper, Sebastian Rupprecht, Thaddeus C Wright, Elizabeth E Neely, Michele Ferenci, Weimin Kang, Qing X Yang, Robert E Harbaugh, James R Connor, James McInerney
OBJECTIVE Intracranial aneurysms are vascular abnormalities associated with neurological morbidity and mortality due to risk of rupture. In addition, many aneurysm treatments have associated risk profiles that can preclude the prophylactic treatment of asymptomatic lesions. Gamma Knife radiosurgery (GKRS) is a standard treatment for trigeminal neuralgia, tumors, and arteriovenous malformations. Aneurysms associated with arteriovenous malformations have been noted to resolve after treatment of the malformation...
January 12, 2018: Journal of Neurosurgery
https://www.readbyqxmd.com/read/29287739/patients-with-idiopathic-trigeminal-neuralgia-seem-to-benefit-from-acupuncture-and-sham-acupuncture-but-we-are-uncertain-about-whether-these-benefits-are-beyond-those-attained-by-pharmacologic-treatment-alone
#3
Romina Brignardello-Petersen
No abstract text is available yet for this article.
December 23, 2017: Journal of the American Dental Association
https://www.readbyqxmd.com/read/29286997/microvascular-decompression-for-trigeminal-neuralgia-due-to-venous-compression-alone
#4
Yonghui Zhao, Xiang Zhang, Junchao Yao, Heyang Li, Yong Jiang
Microvascular decompression (MVD) has been confirmed as an effective treatment of trigeminal neuralgia (TN); however, most previous reports just focused on MVD for TN caused by arterial conflict, there is a paucity of information about its use in venous compression causing TN. In the present study, the authors summarize 5-year experience of MVD for primary TN due to venous compression alone. Thirty-four patients with primary TN caused solely by veins underwent MVD. The presenting symptoms, key operative notes, surgical outcomes together with complications were reviewed...
January 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29285576/sphenopalatine-ganglion-block-radiofrequency-ablation-and-neurostimulation-%C3%A2-a-systematic-review
#5
REVIEW
Kwo Wei David Ho, Rene Przkora, Sanjeev Kumar
BACKGROUND: Sphenopalatine ganglion is the largest collection of neurons in the calvarium outside of the brain. Over the past century, it has been a target for interventional treatment of head and facial pain due to its ease of access. Block, radiofrequency ablation, and neurostimulation have all been applied to treat a myriad of painful syndromes. Despite the routine use of these interventions, the literature supporting their use has not been systematically summarized. This systematic review aims to collect and summarize the level of evidence supporting the use of sphenopalatine ganglion block, radiofrequency ablation and neurostimulation...
December 28, 2017: Journal of Headache and Pain
https://www.readbyqxmd.com/read/29279736/treatment-of-facial-pain-with-i-ching-balance-acupuncture
#6
Arkady Kotlyar
Background: Trigeminal neuralgia (TN) is the most common cranial neuralgia in adults, with a slightly higher incidence in women than in men. This chronic pain condition affects the trigeminal nerve, also known as the 5th cranial nerve. It is one of the most deeply distributed nerves in the head. Antiseizure drugs are the main biomedical treatment of TN. However, TN is not the only source of facial pain. Background persistent idiopathic facial pain (PIFP) is also a chronic disorder, recurring daily for more than 2 hours per day over more than 3 months...
December 1, 2017: Medical Acupuncture
https://www.readbyqxmd.com/read/29251516/a-technique-to-assess-perineuronal-mediators
#7
Andreas Goebel, Maggie Kitman Lee, Francesco Cacciola, Andy Cross, Paul Eldridge
Perineural activity of a variety of inflammatory and immune system mediators can activate peripheral nerves leading to the perception of pain. One example of such effects includes the activity of interleukin 1 beta (IL-1β); this inflammatory mediator, upon binding to IL-1R1 neuronal membrane receptors will rapidly induce protein kinases in damage-sensing neurons, consequently altering heat-activated ionic inward currents leading to increased neuronal sensitivity to harmful heat. The ability to detect such mediators in proximity to sensory nerves is therefore crucial to investigating the contributing roles of inflammation in human chronic pain...
December 18, 2017: British Journal of Neurosurgery
https://www.readbyqxmd.com/read/29231319/-efficacy-on-primary-trigeminal-neuralgia-treated-with-triple-puncture-technique-and-electroacupuncture-at-trigger-points
#8
Zhuang Huang, Jin Huo, Jiongqi Zhao
OBJECTIVE: To compare the clinical efficacy on primary trigeminal neuralgia between the combined therapy of electroacupuncture and triple puncture and the routine electroacupuncture therapy. METHODS: Thirty-six patients of primary trigeminal neuralgia were randomly assigned into an electroacupuncture and triple puncture group (group A) and a routine electroacupuncture group (group B), 18 cases in each one. In the group A, the triple puncture technique was used at the trigger points (the positive reactive points to trigger facial pain) and stimulated with electricity...
January 12, 2017: Zhongguo Zhen Jiu, Chinese Acupuncture & Moxibustion
https://www.readbyqxmd.com/read/29203312/microvascular-decompression-for-treatment-of-trigeminal-neuralgia-factors-that-predict-complete-pain-relief-and-study-of-efficacy-and-safety-in-older-patients
#9
Sarun Nunta-Aree, Kasemsak Patiwech, Bunpot Sitthinamsuwan
OBJECTIVE: Microvascular decompression (MVD) is an effective method for directly treating the etiology of trigeminal neuralgia (TGN). This study aims to investigate the factors that predict complete pain relief after MVD for treatment of TGN, and to study efficacy and safety in older patients. METHODS: This study was conducted in patients with TGN that were treated by MVD at Siriraj Hospital between 2004 and 2015. Cases with secondary TGN were excluded. Data was gathered from medical records, preoperative magnetic resonance imaging, intraoperative findings, and by telephone in patients lost to follow-up...
December 2, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29201285/familial-trigeminal-neuralgia-treated-with-stereotactic-radiosurgery-a-case-report-and-literature-review
#10
Ryan A Denu, Stephen A Rosenberg, Steven P Howard
Background: Trigeminal neuralgia (TN) is a chronic pain condition characterized by brief episodes of lancinating pain in one or more distributions of the trigeminal nerve. Episodes of pain secondary to TN are triggered by certain stimuli, such as chewing, shaving, or touching the face. Although a common cause of TN is compression of the trigeminal nerve root entry zone by an artery or vein, many cases of TN are idiopathic. However, there have been limited reports in the literature of familial TN...
June 2017: Journal of Radiation Oncology
https://www.readbyqxmd.com/read/29200017/efficacy-of-eight-different-drug-treatments-for-patients-with-trigeminal-neuralgia-a-network-meta-analysis
#11
Fang Yang, Qiang Lin, Lihua Dong, Xiaohui Gao, Su'e Zhang
OBJECTIVES: Frequent trigeminal neuralgia (TN) is commonly seen in older persons and negatively influences a patient's daily life. Although some research on the efficacy of TN drugs has been conducted in the past, the optimal choice still remains uncertain. Therefore, this network meta-analysis evaluates the efficacy and performance of eight drugs with respect to TN. METHODS: All literature was retrieved from the PubMed and Embase electronic databases by jointly searching key terms...
December 1, 2017: Clinical Journal of Pain
https://www.readbyqxmd.com/read/29199767/oxcarbazepine-for-neuropathic-pain
#12
REVIEW
Muke Zhou, Ning Chen, Li He, Mi Yang, Cairong Zhu, Fengbo Wu
BACKGROUND: Several anticonvulsant drugs are used in the management of neuropathic pain. Oxcarbazepine is an anticonvulsant drug closely related to carbamazepine. Oxcarbazepine has been reported to be efficacious in the treatment of neuropathic pain, but evidence from randomised controlled trials (RCTs) is conflicting. Oxcarbazepine is reportedly better tolerated than carbamazepine. This is the first update of a review published in 2013. OBJECTIVES: To assess the benefits and harms of oxcarbazepine for different types of neuropathic pain...
December 2, 2017: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29194276/modified-backward-avulsion-used-in-the-treatment-of-third-branch-primary-trigeminal-neuralgia
#13
Chao Liang, Xiao-Yu Wang, Jun Li, Min Zhang, Hong-Fei Liu
OBJECTIVE: A clinical retrospective study was performed to observe the clinical effect of a modified surgical treatment for third-branch primary trigeminal neuralgia. METHOD: Thirty patients who had suffered from neuralgia for several years underwent modified backward avulsion of the inferior alveolar nerve and were followed for 3 to 5 years. In this technique, the inferior alveolar nerve was cut off through the mandibular wisdom tooth extraction socket or the corresponding alveolar ridge window and was avulsed from the mental foramen...
November 20, 2017: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/29184719/diabetes-and-morbid-obesity-are-associated-with-higher-reoperation-rates-following-microvascular-decompression-surgery-an-acs-nsqip-analysis
#14
Gregory D Arnone, Darian R Esfahani, Steven Papastefan, Neha Rao, Prateek Kumar, Konstantin V Slavin, Ankit I Mehta
Background: Microvascular decompression (MVD) is the preferred treatment for refractory trigeminal neuralgia, hemifacial spasm, and glossopharyngeal neuralgia. Despite its high rate of success, MVD carries risk of complications. In this study, we examine outcomes following MVD and identify risk factors associated with adverse outcomes. Methods: A review of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database was performed with CPT code 61458 queried between 2007 and 2014...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/29184709/gamma-knife-radiosurgery-for-cerebellopontine-angle-epidermoid-tumors
#15
Amr M N El-Shehaby, Wael A Reda, Khaled M Abdel Karim, Reem M Emad Eldin, Ahmed M Nabeel
Background: Intracranial epidermoid tumors are commonly found in the cerebellopontine angle where they usually present with either trigeminal neuralgia or hemifacial spasm. Radiosurgery for these tumors has rarely been reported. The purpose of this study is to assess the safety and clinical outcome of the treatment of cerebellopontine epidermoid tumors with gamma knife radiosurgery. Methods: This is a retrospective study involving 12 patients harboring cerebellopontine angle epidermoid tumors who underwent 15 sessions of gamma knife radiosurgery...
2017: Surgical Neurology International
https://www.readbyqxmd.com/read/29175572/gamma-knife-surgery-for-recurrent-trigeminal-neuralgia-in-cases-with-previous-microvascular-decompression
#16
Yi Wang, ShiZhen Zhang, Wei Wang, XiaoPing Gao, FeiLong Gong, Yuan Gao, YangYang Xu, Peng Li
BACKGROUND: Microvascular decompression (MVD) and Gamma Knife surgery (GKS) are the primary treatments for trigeminal neuralgia (TN). However, many patients require further surgical treatment after initial surgery for recurrent TN. The aim of this study was to evaluate efficacy and safety of GKS for recurrent TN cases with prior MVD. METHODS: From October 2008 to June 2015, 658 patients at West China Hospital underwent GKS as the only surgical treatment, and 42 patients underwent GKS with prior MVD...
November 22, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29174233/effectiveness-of-gamma-knife-radiosurgery-in-improving-psychophysical-performance-and-patient-s-quality-of-life-in-idiopathic-trigeminal-neuralgia
#17
Filippo Gagliardi, Alfio Spina, Michele Bailo, Nicola Boari, Andrea Cavalli, Alberto Franzin, Arianna Fava, Antonella Del Vecchio, Angelo Bolognesi, Pietro Mortini
OBJECTIVE: To assess effectiveness of Gamma Knife Radiosurgery (GKRS) in improving quality of life (QoL) in patients with idiopathic trigeminal neuralgia (TN). METHODS: Between January 2001 and October 2013, 166 patients with medically resistant TN were treated at our Institution with GKRS. Patients were divided into two groups: TTN (typical trigeminal neuralgia) and ATN (atypical trigeminal neuralgia) patients. All patients underwent clinical evaluation using Marseille, BNI (Barrow Neurological Institute) pain and numbness scores, moreover they completed the Short Form (36) Health Survey (SF-36), ADL (Activity Daily Living) and EGFP (Excellent Good Fair Poor) questionnaires, and underwent psychological and neurological examination...
November 23, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29169811/evidence-of-and-experience-with-the-use-of-onabotulinumtoxina-in-trigeminal-neuralgia-and-primary-headaches-other-than-chronic-migraine
#18
S Santos-Lasaosa, M L Cuadrado, A B Gago-Veiga, A L Guerrero-Peral, P Irimia, J M Láinez, R Leira, J Pascual, J Porta-Etessam, M Sánchez Del Río, J Viguera Romero, P Pozo-Rosich
INTRODUCTION: In the field of headaches, onabotulinumtoxinA (onabotA) is well established as a treatment for chronic migraine (CM). In recent years, it has been used increasingly to treat other primary headaches (high-frequency episodic migraine, trigeminal-autonomic cephalalgias, nummular headache) and trigeminal neuralgia. As this treatment will progressively be incorporated in the management of these patients, we consider it necessary to reflect, with a fundamentally practical approach, on the possible indications of onabotA, beyond CM, as well as its administration protocol, which will differ according to the type of headache and/or neuralgia...
November 20, 2017: Neurología: Publicación Oficial de la Sociedad Española de Neurología
https://www.readbyqxmd.com/read/29167978/long-term-follow-up-of-multimodality-treatment-for-multiple-sclerosis-related-trigeminal-neuralgia
#19
Sandeep Krishnan, Mark Bigder, Anthony M Kaufmann
BACKGROUND: The treatment for multiple sclerosis-related trigeminal neuralgia (MS-TN) is less efficacious and associated with higher recurrence rates than classical TN. No consensus has been reached in the literature on the choice procedure for MS-TN patients. The aim of this study was to assess the incidence and surgical outcomes of medically refractory MS-TN. METHODS: Patient records were retrospectively reviewed for all Manitobans undergoing first procedure for medically refractory MS-TN between 2000 and 2014...
November 22, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29159152/cranial-nerve-palsy-after-onyx-embolization-as-a-treatment-for-cerebral-vascular-malformation
#20
Jong Min Lee, Kum Whang, Sung Min Cho, Jong Yeon Kim, Ji Woong Oh, Youn Moo Koo, Chul Hu, Jinsoo Pyen, Jong Wook Choi
The Onyx liquid embolic system is a relatively safe and commonly used treatment for vascular malformations, such as arteriovenous fistulas and arteriovenous malformations. However, studies on possible complications after Onyx embolization in patients with vascular malformations are limited, and the occurrence of cranial nerve palsy is occasionally reported. Here we report the progress of two different types of cranial nerve palsy that can occur after embolization. In both cases, Onyx embolization was performed to treat vascular malformations and ipsilateral oculomotor and facial nerve palsies were observed...
September 2017: Journal of Cerebrovascular and Endovascular Neurosurgery
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