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https://www.readbyqxmd.com/read/27903192/stereotactic-radiosurgery-for-idiopathic-glossopharyngeal-neuralgia-an-international-multicenter-study
#1
Hideyuki Kano, Dusan Urgosik, Roman Liscak, Bruce E Pollock, Or Cohen-Inbar, Jason P Sheehan, Mayur Sharma, Danilo Silva, Gene H Barnett, David Mathieu, Nathaniel D Sisterson, L Dade Lunsford
OBJECTIVE The goal of this study was to evaluate the outcomes of Gamma Knife stereotactic radiosurgery (SRS) when used for patients with intractable idiopathic glossopharyngeal neuralgia. METHODS Six participating centers of the International Gamma Knife Research Foundation identified 22 patients who underwent SRS for intractable glossopharyngeal neuralgia between 1998 and 2015. The median patient age was 60 years (range 34-83 years). The median duration of symptoms before SRS was 46 months (range 1-240 months)...
December 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27847579/a-clinical-analysis-of-secondary-surgery-in-trigeminal-neuralgia-patients-who-failed-prior-treatment
#2
Il Ho Kang, Bong Jin Park, Chang Kyu Park, Hridayesh Pratap Malla, Sung Ho Lee, Bong Arm Rhee
OBJECTIVE: Although many treatment modalities have been introduced for trigeminal neuralgia (TN), the long-term clinical results remain unsatisfactory. It has been particularly challenging to determine an appropriate treatment strategy for patients who have responded poorly to initial therapies. We analyzed the surgical outcomes in TN patients who failed prior treatments. METHODS: We performed a retrospective analysis of 37 patients with recurrent or persistent TN symptoms who underwent surgery at our hospital between January 2010 and December 2014...
November 2016: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/27749549/percutaneous-radiofrequency-thermocoagulation-for-trigeminal-neuralgia-using-neuronavigation-guided-puncture-from-a-mandibular-angle
#3
Weihua Ding, Shuping Chen, Rong Wang, Jun Cai, Yuan Cheng, Liang Yu, Qinghua Li, Fang Deng, Shengmei Zhu, Wenhua Yu
Percutaneous radiofrequency thermocoagulation (RFT) of the Gasserian ganglion is an effective treatment for primary trigeminal neuralgia (pTN). Currently Hartel anterior approach is the most commonly used method to access the Gasserian ganglion. However, this approach is associated with high recurrence rate and technical difficulties in certain patients with foramen ovale (FO) anatomical variations. In the present study, we assessed the feasibility of accessing the Gasserian ganglion through the FO from a mandibular angle under computed tomography (CT) and neuronavigation guidance...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27733079/a-randomised-control-trial-of-walking-to-ameliorate-brain-injury-fatigue-a-nidrr-tbi-model-system-centre-based-study
#4
Stephanie A Kolakowsky-Hayner, Kimberly Bellon, Ketra Toda, Tamara Bushnik, Jerry Wright, Linda Isaac, Jeffrey Englander
Fatigue is one of the most commonly reported sequelae after traumatic brain injury (TBI). This study evaluated the impact of a graduated physical activity programme on fatigue after TBI. Using a prospective randomised single-blind crossover design, 123 individuals with TBI, over the age of 18, were enrolled. Interventions included a home-based walking programme utilising a pedometer to track daily number of steps at increasing increments accompanied by tapered coaching calls over a 12-week period. Nutritional counselling with the same schedule of coaching calls served as the control condition...
October 13, 2016: Neuropsychological Rehabilitation
https://www.readbyqxmd.com/read/27702706/radiosurgery-for-secondary-trigeminal-neuralgia-revisiting-the-treatment-paradigm
#5
Srinivas Chivukula, Won Kim, Xiaoyi Zhuo, Stephen Tenn, Tania Kaprealian, Antonio DeSalles, Nader Pouratian
BACKGROUND: The mechanisms by which surgery and radiation elicit pain relief in trigeminal neuralgia (TN) secondary to mass lesions vary widely. We aimed to evaluate the outcomes of radiation to the nerve rather than to the lesion in the treatment of secondary TN. METHODS: We retrospectively reviewed all patients who underwent radiation at the University of California, Los Angeles for TN secondary to tumors. The Barrow Neurological Institute (BNI) pain score was used to evaluate pain outcomes...
October 1, 2016: World Neurosurgery
https://www.readbyqxmd.com/read/27625241/role-of-surgery-for-small-petrous-apex-meningiomas-causing-refractory-trigeminal-neuropathy-in-the-minimally-invasive-era
#6
Ahmed Hegazy, Ahmed Alfiki, M Fathy Adel, M Fm Alsawy, M Fouad Al-Dash, Mostafa Zein, Sameh M Amin, Hieder Al-Shami, Arundhati Biswas
BACKGROUND: Radiosurgery seems to be a very appealing option for patients having a small petrous apex meningioma and presenting with trigeminal neuralgia, presumably because of the lower risk and cost involved. The aim of this study was to analyze the results of our surgical series of petrous apex meningioma presenting with trigeminal neuralgia, and to determine the efficacy of neurosurgical treatment with regard to pain control. The procedure-related complication and morbidity rates were also evaluated...
September 2016: Neurology India
https://www.readbyqxmd.com/read/27593849/long-term-therapeutic-effect-of-microvascular-decompression-for-trigeminal-neuralgia-kaplan-meier-analysis-in-a-consecutive-series-of-425-patients
#7
Yongxu Wei, Chunhua Pu, Ning Li, Yu Cai, Hanbing Shang, Weiguo Zhao
AIM: This study evaluated the long-term efficacy and safety of microvascular decompression (MVD) for treating trigeminal neuralgia (TN), and identified the predictors of pain relief. MATERIAL AND METHODS: A total of 425 patients who underwent surgery between 1991 and 2011 for idiopathic TN were included in this study. Pain outcome was graded using the Barrow Neurological Institute pain scale, success was defined as complete pain relief without medication. A Kaplan-Meier survival curve was generated...
August 5, 2016: Turkish Neurosurgery
https://www.readbyqxmd.com/read/27560193/long-term-outcomes-in-the-treatment-of-classical-trigeminal-neuralgia-by-gamma-knife-radiosurgery-a-retrospective-study-in-patients-with-minimum-2-year-follow-up
#8
Nuria E Martínez Moreno, Jorge Gutiérrez-Sárraga, Germán Rey-Portolés, Adolfo Jiménez-Huete, Roberto Martínez Álvarez
BACKGROUND: Gamma knife radiosurgery (GKRS) is one of the alternatives for treatment for classical trigeminal neuralgia (TN). OBJECTIVE: To retrospectively analyze long-term outcomes for TN using GKRS achieved at our institution. METHODS: One hundred seventeen patients with medically refractory TN treated by GKRS at our institution were followed up between 1993 and 2011. Mean maximum dose was 86.5 Gy (range: 80-90 Gy; median: 90 Gy). Clinical response was defined based on the Burchiel classification...
December 2016: Neurosurgery
https://www.readbyqxmd.com/read/27555796/efficacy-of-stereotactic-gamma-knife-surgery-and-microvascular-decompression-in-the-treatment-of-primary-trigeminal-neuralgia-a-retrospective-study-of-220-cases-from-a-single-center
#9
Zi-Feng Dai, Qi-Lin Huang, Hai-Peng Liu, Wei Zhang
OBJECTIVES: A retrospective study was undertaken to compare the efficacy of stereotactic gamma knife surgery (GKS) and microvascular decompression (MVD) in the treatment of primary trigeminal neuralgia (TN) at a single center. The study included the evaluation of clinical outcomes of pain relief and pain recurrence and complications associated with GKS and MVD. METHODS: The study included 202 patients with primary TN and was conducted between January 2013 and December 2014; about 115 patients were treated with GKS and 87 patients were treated with MVD...
2016: Journal of Pain Research
https://www.readbyqxmd.com/read/27554352/tarlov-cysts-long-term-follow-up-after-microsurgical-inverted-plication-and-sacroplasty
#10
Ralf Weigel, Manolis Polemikos, Nesrin Uksul, Joachim K Krauss
PURPOSE: Surgical treatment of Tarlov cysts is still a matter of debate. Published literature thus far includes mainly small case series with retrospective evaluation and short-term follow-up. We present a novel microsurgical technique that combines the decompression of the nerve fibers with the prevention of recurrence. The long-term follow-up is provided. METHODS: The indication for surgery was incapacitating pain refractory to medical therapy for at least 6 months...
August 23, 2016: European Spine Journal
https://www.readbyqxmd.com/read/27500771/-venous-compression-as-a-cause-of-trigeminal-neuralgia
#11
Yu A Shulev, K S Gordienko, A V Trashin, D A Pechiborshch, D A Rzaev
AIM: The study objective was to verify venous compression as a cause of trigeminal neuralgia (TN) and to define the optimal surgical tactics for TN patients. MATERIAL AND METHODS: Four hundred twenty one patients were operated on for TN at the Neurosurgical Department of the City Hospital №2 from 1998 to 2015. Veins in the trigeminal nerve root entry zone, as a significant compression factor, were identified in 40 patients (9.5%). Intraoperative data, questionnaires, and self-assessment inventories were analyzed...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
https://www.readbyqxmd.com/read/27471888/the-clinical-significance-of-persistent-trigeminal-nerve-contrast-enhancement-in-patients-who-undergo-repeat-radiosurgery
#12
Seyed H Mousavi, Berkcan Akpinar, Ajay Niranjan, Vikas Agarwal, Jonathan Cohen, John C Flickinger, Douglas Kondziolka, L Dade Lunsford
OBJECTIVE Contrast enhancement of the retrogasserian trigeminal nerve on MRI scans frequently develops after radiosurgical ablation for the management of medically refractory trigeminal neuralgia (TN). The authors sought to evaluate the clinical significance of this imaging finding in patients who underwent a second radiosurgical procedure for recurrent TN. METHODS During a 22-year period, 360 patients underwent Gamma Knife stereotactic radiosurgery (SRS) as their first surgical procedure for TN at the authors' center...
July 29, 2016: Journal of Neurosurgery
https://www.readbyqxmd.com/read/27399471/192%C3%A2-older-patients-have-greater-improvements-in-pain-score-following-microvascular-decompression
#13
Sarah Kb Bick, David Huie, Emad N Eskandar
INTRODUCTION: Trigeminal neuralgia (TN) is more common in elderly patients, and recent studies have demonstrated safety of microvascular decompression (MVD) in this patient population. To date, age has not been shown correlated with efficacy of MVD. We evaluated the role of age in predicting outcome after MVD in patients with typical TN. METHODS: We reviewed the records of patients who underwent MVD between January 1, 2004 and December 31, 2013. Patients with typical TN and demonstrated neurovascular compression on preoperative imaging were identified and contacted to obtain information about long-term pain control using the 5-point Barrow Neurological Institute (BNI) TN pain intensity score...
August 2016: Neurosurgery
https://www.readbyqxmd.com/read/27330418/surgical-management-of-skull-base-tumors
#14
Leonardo Rangel-Castilla, Jonathan J Russin, Robert F Spetzler
AIM: To present a review of the contemporary surgical management of skull base tumors. BACKGROUND: Over the last two decades, the treatment of skull base tumors has evolved from observation, to partial resection combined with other therapy modalities, to gross total resection and no adjuvant treatment with good surgical results and excellent clinical outcomes. MATERIALS AND METHODS: The literature review of current surgical strategies and management of skull base tumors was performed and complemented with the experience of Barrow Neurological Institute...
July 2016: Reports of Practical Oncology and Radiotherapy
https://www.readbyqxmd.com/read/27325473/trigeminal-neuralgia-treated-with-stereotactic-radiosurgery-the-effect-of-dose-escalation-on-pain-control-and-treatment-outcomes
#15
Rupesh Kotecha, Ritesh Kotecha, Sujith Modugula, Erin S Murphy, Mark Jones, Rajesh Kotecha, Chandana A Reddy, John H Suh, Gene H Barnett, Gennady Neyman, Andre Machado, Sean Nagel, Samuel T Chao
PURPOSE: To analyze the effect of dose escalation on treatment outcome in patients undergoing stereotactic radiosurgery (SRS) for trigeminal neuralgia (TN). METHODS AND MATERIALS: A retrospective review was performed of 870 patients who underwent SRS for a diagnosis of TN from 2 institutions. Patients were typically treated using a single 4-mm isocenter placed at the trigeminal nerve dorsal root entry zone. Patients were divided into groups based on treatment doses: ≤82 Gy (352 patients), 83 to 86 Gy (85 patients), and ≥90 Gy (433 patients)...
September 1, 2016: International Journal of Radiation Oncology, Biology, Physics
https://www.readbyqxmd.com/read/27324999/measurement-of-trigeminal-neuralgia-pain-penn-facial-pain-scale
#16
REVIEW
John Y K Lee
Pain is a subjective experience that cannot be directly measured. Therefore, patient-reported outcome is one of the currently accepted methods to capture pain intensity and its impact on activities of daily living. This article focuses on five patient-reported outcomes that have been used to measure trigeminal neuralgia pain-Visual Analog Scale, numeric rating scale, Barrow Neurological Institute Pain Intensity Score, McGill Pain Questionnaire, and Penn Facial Pain Scale. Each scale is evaluated for its practicality, applicability, comprehensiveness, reliability, validity, and sensitivity to measuring trigeminal neuralgia pain...
July 2016: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/27324996/gamma-knife-surgery-in-trigeminal-neuralgia
#17
REVIEW
Amparo Wolf, Douglas Kondziolka
Gamma knife surgery (GKS) represents a safe, effective, and relatively durable noninvasive treatment option for patients with trigeminal neuralgia (TN) and recurrent TN. By one year's time, 75% to 90% of patients will have obtained pain relief, defined as Barrow Neurological Institute grades I to IIIB. Similar rates have been demonstrated for patients undergoing a second GKS for recurrent TN. Predictors of durability of GKS in TN include type I TN, post-GKS Barrow Neurological Institute score, and the presence of post-Gamma Knife facial numbness...
July 2016: Neurosurgery Clinics of North America
https://www.readbyqxmd.com/read/27312572/traumatic-brain-injury-in-domestic-violence-victims-a-retrospective-study-at-the-barrow-neurological-institute
#18
Glynnis Zieman, Ashley Bridwell, Javier F Cardenas
Domestic violence is a national health crisis, which affects people of all ages, races and socioeconomic classes. Traumatic brain injury is common in victims due to the high frequency of head and neck injuries inflicted through abuse. These recurrent injuries can lead to chronic symptoms with high morbidity. We conducted a retrospective chart review of 115 patients with a history of head trauma as a result of domestic violence. All patients were seen in a subspecialty traumatic brain injury clinic, at which time information regarding their histories and self-reported symptoms were recorded...
June 16, 2016: Journal of Neurotrauma
https://www.readbyqxmd.com/read/27281178/dural-carotid-cavernous-fistulas-endovascular-treatment-and-assessment-of-the-correlation-between-clinical-symptoms-and-the-cognard-classification-system
#19
Julius Griauzde, Joseph J Gemmete, Aditya S Pandey, Neeraj Chaudhary
OBJECTIVE: To present our experience with endovascular treatment of dural carotid cavernous fistulas (DCCFs) and determine if there is a correlation between clinical symptoms and the Cognard classification system. METHODS: We searched our institutional neurovascular database to identify patients treated for DCCFs from January 1995 to May 2015. DCCFs were defined as a vascular shunt between meningeal branches of the internal carotid artery (ICA), external carotid artery (ECA), or both, draining into the cavernous sinus...
June 8, 2016: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/27241099/clinical-and-anatomic-insights-from-a-series-of-ethmoidal-dural-arteriovenous-fistulas-at-barrow-neurological-institute
#20
Bradley A Gross, Karam Moon, M Yashar S Kalani, Felipe C Albuquerque, Cameron G McDougall, Peter Nakaji, Joseph M Zabramski, Robert F Spetzler
BACKGROUND: Ethmoidal dural arteriovenous fistulas (dAVFs) have a malignant natural history and an anatomy that make endovascular therapy challenging. Their uniqueness begs for stratified analyses, but this has largely been precluded by their rarity. We sought to summarize the anatomic, presentation, treatment approaches, and clinical outcomes of patients with these lesions. METHODS: We reviewed our prospectively maintained institutional database to identify patients diagnosed with ethmoidal dAVFs from January 1, 2000, to December 31, 2015...
September 2016: World Neurosurgery
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