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trigeminal neuralgia treatment

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https://www.readbyqxmd.com/read/29159152/cranial-nerve-palsy-after-onyx-embolization-as-a-treatment-for-cerebral-vascular-malformation
#1
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
https://www.readbyqxmd.com/read/29132095/inhibition-of-tnf-reduces-mechanical-orofacial-hyperalgesia-induced-by-complete-freund-s-adjuvant-by-a-trpv1-dependent-mechanism-in-mice
#2
Krzysztof Lis, Tomasz Grygorowicz, Agnieszka Cudna, David E Szymkowski, Ewa Bałkowiec-Iskra
BACKGROUND: Inflammation in the orofacial region results in pain and is associated with many pathological states, including migraine, neuralgias and temporomandibular disorder. Although extensively studied, the mechanisms responsible for these conditions are not known and effective treatments are lacking. We reported earlier that the proinflammatory cytokine tumor necrosis factor (TNF) plays an important role in regulation of trigeminal ganglion (TG) neuron function in vitro. In the present study we investigated the role of TNF in mechanical hypersensitivity in mice...
June 3, 2017: Pharmacological Reports: PR
https://www.readbyqxmd.com/read/29128162/three-dimensionally-printed-personalized-guide-plate-for-percutaneous-radiofrequency-thermal-coagulation-in-idiopathic-trigeminal-neuralgia
#3
M Deng, H Cai, W Fang, X Long
Radiofrequency thermocoagulation (RFT) is used widely for the treatment of idiopathic trigeminal neuralgia (TN). Precise puncture and placement of the electrode needle tip are crucial for successful RFT. This technical note introduces a novel method for performing RFT using a customized, three-dimensionally (3D)-printed guide plate. Eleven patients with idiopathic TN were treated using this method between February and July 2016. Three had V2 branch TN and eight had V3 branch TN. Punctures in eight patients were successful at the first attempt; slight adjustments were required subsequently in the other three patients...
November 8, 2017: International Journal of Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29120554/accommodation-to-diagnosis-of-trigeminal-neuralgia
#4
Vanja Bašić Kes, Lucija Zadro Matovina
Trigeminal neuralgia is one of the most common causes of facial pain. It implies short lasting episodes of unilateral electric shock-like pain with abrupt onset and termination, in the distribution of one or more divisions of the trigeminal nerve that are triggered by innocuous stimuli. Most cases of trigeminal neuralgia are caused by compression of the trigeminal nerve root. Depending on the etiology, trigeminal neuralgia can be classified as classic trigeminal neuralgia or painful trigeminal neuropathy. It may be precipitated by some actions at trigger zones...
March 2017: Acta Clinica Croatica
https://www.readbyqxmd.com/read/29114270/trigeminal-neuralgia
#5
REVIEW
Yad Ram Yadav, Yadav Nishtha, Pande Sonjjay, Parihar Vijay, Ratre Shailendra, Khare Yatin
Trigeminal neuralgia (TN) is a sudden, severe, brief, stabbing, and recurrent pain within one or more branches of the trigeminal nerve. Type 1 as intermittent and Type 2 as constant pain represent distinct clinical, pathological, and prognostic entities. Although multiple mechanism involving peripheral pathologies at root (compression or traction), and dysfunctions of brain stem, basal ganglion, and cortical pain modulatory mechanisms could have role, neurovascular conflict is the most accepted theory. Diagnosis is essentially clinically; magnetic resonance imaging is useful to rule out secondary causes, detect pathological changes in affected root and neurovascular compression (NVC)...
October 2017: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/29110188/percutaneous-balloon-compression-for-persistent-or-recurrent-trigeminal-neuralgia-after-microvascular-decompression-personal-experience-of-28-patients
#6
Wu Xu, Chengrong Jiang, Chen Yu, Weibang Liang
The objective of this study is to investigate the long-term effects of percutaneous balloon compression (PBC) for treating persistent or recurrent trigeminal neuralgia (TN) after microvascular decompression (MVD). The clinical features, surgical findings, outcomes, and complications of 28 patients underwent PBC for TN in Nanjing Drum Tower Hospital between April 2011 and March 2015 were analyzed retrospectively. All the patients had received MVD before but they did not get cured or the symptom relapsed during follow-up...
November 6, 2017: Acta Neurologica Belgica
https://www.readbyqxmd.com/read/29107410/contralateral-trigeminal-neuralgia-in-a-rapidly-growing-vestibular-schwannoma-a-case-report
#7
Youngbeom Seo, Dong Gyu Kim
We present a rare case of vestibular schwannoma (VS) with contralateral trigeminal neuralgia. A 59 year-old woman presented with right-sided trigeminal neuralgia and a small VS in the left cerebellopontine angle (CPA) that was found via magnetic resonance imaging. The patient was administered medication; however, her symptoms gradually aggravated, and the size of the tumor increased. Two years after the initial diagnosis, the patient underwent surgical resection. After surgical resection, the patient's facial pain was improved...
October 26, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29104836/delayed-development-of-trigeminal-neuralgia-after-radiosurgical-treatment-of-a-tentorial-meningioma
#8
Aldo Berti, Michelle Granville, Xiaodong Wu, David Huang, James G Schwade, Robert E Jacobson
Trigeminal neuralgia is a known symptom of the tumors and aberrant vessels near the trigeminal nerve and the tentorial notch. There are very few reports of delayed development of trigeminal neuralgia after radiosurgical treatment of a tumor in these areas. This is a case report of a patient treated with radiosurgery for radiation induced meningiomas, 30 years after childhood whole brain radiation. The largest tumor was adjacent to the pons and left trigeminal nerve but did not cause any direct neurologic symptoms or facial pain...
August 30, 2017: Curēus
https://www.readbyqxmd.com/read/29104153/anatomical-study-of-the-extracranial-needle-trajectory-using-the-hartel-technique-for-percutaneous-treatment-of-trigeminal-neuralgia
#9
Joe Iwanaga, Filippo Badaloni, Tyler Laws, Rod J Oskouian, R Shane Tubbs
OBJECTIVE: The aim of this study was to describe the anatomical trajectory of the extracranial needle for percutaneous rhizotomy and correlate this with structures at risk during such a procedure. METHODS: Six sides from three frozen fresh Caucasian heads were used in this study. Hartel's anatomic landmarks for percutaneous trigeminal rhizotomy procedures were used. A free hand technique was then used and intraprocedural visualization of the needle performed with fluoroscopy...
November 2, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29103137/microvascular-decompression-for-glossopharyngeal-neuralgia-a-retrospective-analysis-of-228-cases
#10
Lei Xia, Yong-Sheng Li, Ming-Xing Liu, Jun Zhong, Ning-Ning Dou, Bin Li, Shi-Ting Li
BACKGROUND: Glossopharyngeal neuralgia (GPN) is an uncommon craniofacial pain syndrome caused by neurovascular conflict. Compared to trigeminal neuralgia or hemifacial spasm, the incidence of GPN was very low. Until now, little is known about the long-term outcome following microvascular decompression (MVD) process. METHODS: Between 2006 and 2016, 228 idiopathic GPN patients underwent MVD in our department. Those cases were retrospectively reviewed with emphasis on intraoperative findings and long-term postoperative outcomes...
November 4, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29093308/the-current-status-of-microvascular-decompression-for-the-treatment-of-trigeminal-neuralgia-in-japan-an-analysis-of-1619-patients-using-the-japanese-diagnosis-procedure-combination-database
#11
Yoshifumi Mizobuchi, Makoto Ohtani, Junichiro Satomi, Kiyohide Fushimi, Shinya Matsuda, Shinji Nagahiro
Microvascular decompression (MVD) is a widely used, safe, and effective treatment for trigeminal neuralgia (TGN). However, the extent of application of this therapeutic method and its outcomes in Japan are currently unclear. To address these questions, the authors analyzed the use of MVD for the treatment of TGN during the 33-month period from July 2010 to March 2013, using data contained in the Diagnosis Procedure Combination database. The analysis revealed that MVD was used for the treatment of TGN in 1619 cases (608 men, 1011 women), with approximately 1...
November 2, 2017: Neurologia Medico-chirurgica
https://www.readbyqxmd.com/read/29080911/impact-of-pain-and-postoperative-complications-on-patient-reported-outcome-measures-5%C3%A2-years-after-microvascular-decompression-or-partial-sensory-rhizotomy-for-trigeminal-neuralgia
#12
Daniyal J Jafree, Amanda C Williams, Joanna M Zakrzewska
BACKGROUND: Microvascular decompression (MVD) and partial sensory rhizotomy (PSR) provide longstanding pain relief in trigeminal neuralgia (TN). Given their invasiveness, complications can result from such posterior fossa procedures, but the impact of these procedures and their complications on patient-reported outcome measures (PROM), such as quality of life and distress, are not well established. METHOD: Five years after surgery, patients who underwent first MVD or PSR for TN at one institution, between 1982 and 2002, were sent a self-completion assessment set containing a range of PROMs: the Short Form-12 (SF-12) questionnaire to assess quality of life, the Hospital Anxiety and Depression Scale (HADS) to assess distress, and a questionnaire containing questions about postoperative complications, their severity and impact on quality of life...
October 28, 2017: Acta Neurochirurgica
https://www.readbyqxmd.com/read/29080198/acupuncture-treatment-for-idiopathic-trigeminal-neuralgia-a-longitudinal-case-control-double-blinded-study
#13
Michelle Cristina Ichida, Mariana Zemuner, Jorge Hosomi, Hong Jin Pai, Manoel Jacobsen Teixeira, José Tadeu Tesseroli de Siqueira, Silvia R D T de Siqueira
OBJECTIVE: To evaluate the treatment effect of acupuncture on patients with idiopathic trigeminal neuralgia (ITN) by case-control longitudinal blinded study. METHODS: Sixty ITN patients and 30 healthy subjects were included. The ITN patients were randomly assigned to acupuncture group (15 cases), sham-acupuncture group (15 cases) and carbamazepine group (30 cases), respectively. Clinical orofacial evaluation (including pain intensity and medication doses), research diagnostic criteria for temporomandibular disorders (RDC/TMD) and Helkimo indexes (for functional evaluation of the masticatory system), and quantitative sensory testing for sensory thresholds (gustative, olfactory, cold, warm, touch, vibration and superficial and deep pain) were evaluated before treatment, immediately after treatment, and 6 months after treatment...
November 2017: Chinese Journal of Integrative Medicine
https://www.readbyqxmd.com/read/29074316/outcome-of-gamma-knife-radiosurgery-for-trigeminal-neuralgia-associated-with-neurovascular-compression
#14
Cheng-Siu Chang, Cheng-Wei Huang, His-Hsien Chou, Long-Yau Lin, Chuan-Fu Huang
We reviewed 130 patients from 1999 to 2012 to evaluate whether neurovascular compression (NVC) has prognostic value for pain relief in idiopathic trigeminal neuralgia (TN) treated by Gamma Knife radiosurgery (GKRS). Patients were assigned to one of the following groups based on NVC identified by MRI: no NVC, small vessel NVC, and large vessel (defined as part of the vertebrobasilar arterial system) NVC. Follow-up ranged from 4 to 14years. Primary outcome was pain graded by the Barrow Neurological Institute (BNI) pain scale...
October 23, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29070964/trigeminal-neuralgia-commonly-precedes-the-diagnosis-of-multiple-sclerosis
#15
Ahmad Fallata, Amber Salter, Tuula Tyry, Gary R Cutter, Ruth Ann Marrie
BACKGROUND: Trigeminal neuralgia (TN) is a well-recognized cause of facial pain in the general population, and multiple sclerosis (MS) accounts for some of these cases. However, the prevalence of TN in MS is poorly understood. We investigated the prevalence of TN and how often TN is the initial presentation of MS in a large MS cohort. METHODS: In 2009, we surveyed participants in the North America Research Committee on Multiple Sclerosis Registry regarding TN, including date of onset and pharmacologic and nonpharmacologic treatments used...
September 2017: International Journal of MS Care
https://www.readbyqxmd.com/read/29070750/a-case-of-recurrent-myelitis-associated-with-anti-myelin-oligodendrocyte-glycoprotein-antibody-that-developed-only-as-localized-short-spinal-cord-lesions
#16
Arifumi Matsumoto, Kimihiko Kaneko, Toshiyuki Takahashi, Ichiro Nakashima, Kinya Hisanaga, Isao Nagano
A 65-year-old man initially developed numbness and hypesthesia in the right shoulder and brachial regions that disappeared within several months. MRI revealed a small lesion extending to a vertebral segment in the right dorsal region of the cervical spinal cord at the vertebral height of C2/3. About 15 months later, the intermittent lancinating pain identical to the right trigeminal and occipital neuralgia with pain and hypesthesia distributed in the right C2-C4 dermatome regions appeared. MRI revealed a new oval lesion with gadolinium enhancement in the right dorsal region of the cervical spinal cord at the vertebral height of C1, which was thought to involve the posterior column and lower part of the spinal tract nucleus of the trigeminal nerve...
October 26, 2017: Rinshō Shinkeigaku, Clinical Neurology
https://www.readbyqxmd.com/read/29066316/management-of-primary-bilateral-trigeminal-neuralgia-with-microvascular-decompression-a-13-case-series
#17
Hua Zhao, Ying Zhang, Xin Zhang, Yin-da Tang, Ping Zhou, Jin Zhu, Shi-Ting Li
BACKGROUND: Bilateral trigeminal neuralgia is a relatively rare disease. Microvascular decompression (MVD) is a safe and effective treatment for unilateral trigeminal neuralgia; however, its utility in bilateral trigeminal neuralgia is unclear. Here, we report our experience with MVD in 13 cases of primary bilateral trigeminal neuralgia. METHODS: We retrospectively analyzed 13 cases of bilateral trigeminal neuralgia that were treated with MVD between January 2013 and January 2015...
October 21, 2017: World Neurosurgery
https://www.readbyqxmd.com/read/29066235/pregabalin-as-a-salvage-preoperative-treatment-for-refractory-trigeminal-neuralgia
#18
Tadashi Hamasaki, Shigetoshi Yano, Kazumi Nakamura, Kazumichi Yamada
Only few studies have investigated the effectiveness of pregabalin (PGB) treatment for trigeminal neuralgia (TN). We aimed to retrospectively analyze the effectiveness of PGB treatment in refractory TN as a salvage treatment preceding surgery. Of 61 patients with TN refractory to prior treatment with carbamazepine (CBZ), we enrolled 33 patients in our study who agreed to receive PGB before they underwent surgery. The patients were divided into effective and ineffective groups depending on the patient-reported outcome...
October 21, 2017: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29025773/erdheim-chester-disease-atypical-presentation-of-a-rare-disease
#19
Cristian Ricardo Calandra, Ariel Bustos, Florencia Falcon, Naomi Arakaki
We report the clinical case of an adult patient referred to our hospital because of trismus due to a tumour in the right infratemporal and pterygomaxillary fossa. He referred hyporexia, weight loss and right trigeminal neuralgia. On physical examination, he had trismus and diplopia. On neuroimaging, the tumour invaded the central nervous system affecting the right temporal lobe and orbit, and the sellar region. Tumour biopsy revealed foamy histiocytes and isolated giant multinuclear cells immunoreactive to CD68 and negative to CD1a and S100...
October 11, 2017: BMJ Case Reports
https://www.readbyqxmd.com/read/28984397/intra-arterial-modulation-of-the-trigeminal-nerve-ganglion-in-patients-with-refractory-trigeminal-neuralgia
#20
Adnan I Qureshi, Muhammad A Saleem, Vikram Jadhav, Shawn S Wallery, Faisal Raja
BACKGROUND AND PURPOSE: Nerves and nerve ganglions are supplied by segmental arteries and the vasa nervorum, but the intra-arterial route has not been used for diagnostic or therapeutic purposes. We present the results of intra-arterial delivery of medication for modulating trigeminal nerve ganglion function in patients with refractory trigeminal neuralgia. METHODS: We administered intra-arterial lidocaine in doses up to 50 mg in the middle meningeal artery territory adjacent to the arterial branch that supplies the trigeminal nerve ganglion...
October 6, 2017: Journal of Neuroimaging: Official Journal of the American Society of Neuroimaging
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