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https://www.readbyqxmd.com/read/28188403/-stereotactic-laser-thermocoagulation-in-epilepsy-surgery
#1
C Hoppe, J-A Witt, C Helmstaedter, T Gasser, H Vatter, C E Elger
In common with other stereotactic procedures, stereotactic laser thermocoagulation (SLT) promises gentle destruction of pathological tissue, which might become especially relevant for epilepsy surgery in the future. Compared to standard resection, no large craniotomy is necessary, cortical damage during access to deep-seated lesions can be avoided and interventions close to eloquent brain areas become possible. We describe the history and rationale of laser neurosurgery as well as the two available SLT systems (Visualase® and NeuroBlate®; CE marks pending)...
February 10, 2017: Der Nervenarzt
https://www.readbyqxmd.com/read/28150296/radiofrequency-thermocoagulation-of-the-seizure-onset-zone-during-stereoelectroencephalography
#2
Petia Dimova, Luca de Palma, Anne-Sophie Job-Chapron, Lorella Minotti, Dominique Hoffmann, Philippe Kahane
OBJECTIVE: To assess long-term outcome and identify prognostic factors of radiofrequency thermocoagulation (RFTC) following stereoelectroencephalography (SEEG) explorations in particularly complex cases of focal epilepsy. METHODS: We retrospectively reviewed the medical charts, video-SEEG recordings, and outcomes for 23 patients (aged 6-53 years) treated with SEEG-guided RFTC, of whom 15 had negative magnetic resonance imaging (MRI) findings, and 10 were considered noneligible for resective surgery after SEEG...
February 2, 2017: Epilepsia
https://www.readbyqxmd.com/read/28118301/cognition-in-epilepsy-current-clinical-issues-of-interest
#3
Juri-Alexander Witt, Christoph Helmstaedter
PURPOSE OF REVIEW: This review provides an update and summary of recent neuropsychological findings in epilepsy focusing on three major clinical topics among the many developments in the field. We will critically outline the current state with regard to cognition in new-onset epilepsies, social cognition in epilepsy, and the long-term outcome of epilepsy surgery and the cognitive outcomes of superselective surgical procedures. RECENT FINDINGS: Current studies indicate that neuropsychological impairments are prevalent already at the onset of epilepsy and even before, social cognition (i...
January 21, 2017: Current Opinion in Neurology
https://www.readbyqxmd.com/read/28099345/trigeminal-somatosensory-evoked-potential-a-neurophysiological-tool-to-monitor-the-extent-of-lesion-of-ganglion-radiofrequency-thermocoagulation-in-idiopathic-trigeminal-neuralgia-a-case-control-study
#4
Yan-Xing Zhao, Su-Hua Miao, Yuan-Zhang Tang, Liang-Liang He, Li-Qiang Yang, Yu Ma, Jia-Xiang Ni
To reflect the extent of thermolesion of ganglion by testing the change of trigeminal somatosensory-evoked potential (TSEP) before and after ganglion radiofrequency thermocoagulation surgery (GRT), and evaluate long-term clinic effect by follow-up visiting of 1 year.Patients with idiopathic trigeminal neuralgia (TN) in the second division were enrolled between October 2014 and October 2015. They were treated with computed tomography-guided GRT and a follow-up visiting of 1 year. Bilateral TSEP measurements were performed 1 day before and 2 days after the GRT surgery...
January 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/28061842/feasibility-of-thermocoagulation-in-a-screen-and-treat-approach-for-the-treatment-of-cervical-precancerous-lesions-in-sub-saharan-africa
#5
Manuela Viviano, Bruno Kenfack, Rosa Catarino, Eveline Tincho, Liliane Temogne, Anne-Caroline Benski, Pierre-Marie Tebeu, Ulrike Meyer-Hamme, Pierre Vassilakos, Patrick Petignat
BACKGROUND: The use of thermocoagulation for the treatment of cervical precancerous lesions has recently generated a great deal of interest. Our aim was to determine the feasibility of this outpatient procedure in the context of a cervical cancer (CC) screen-and-treat campaign in sub-Saharan Africa. METHODS: Between July and December 2015, women living in the area of Dschang (Cameroon) aged between 30 and 49 years, were enrolled in a CC screening study. HPV self-sampling was performed as a primary screening test and women who were either "HPV 16/18/45-positive" or "positive to other HPV types and to VIA" were considered screen-positive, thus requiring further management...
January 7, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28005811/the-role-of-percutaneous-radiofrequency-thermocoagulation-for-persistent-or-recurrent-trigeminal-neuralgia-after-surgery
#6
Pengfei Liu, Wenxiang Zhong, Chenlong Liao, Min Yang, Wenchuan Zhang
Therapeutic strategy is controversial and not yet uniform for patients with trigeminal neuralgia (TN) and persistent or recurrent facial pain after microvascular decompression, percutaneous radiofrequency thermocoagulation (PRT), or Gamma Knife surgery. The outcomes and risks of PRT for these patients are not clearly understood. The authors performed a retrospective study of 84 patients with persistent or recurrent TN after surgery who then underwent PRT between 2007 and 2013. Data were obtained with chart review and telephone interviews...
November 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27959970/magnetic-resonance-thermometry-guided-stereotactic-laser-ablation-of-cavernous-malformations-in-drug-resistant-epilepsy-imaging-and-clinical-results
#7
D Jay McCracken, Jon T Willie, Brad Fernald, Amit M Saindane, Daniel L Drane, Daniel L Barrow, Robert E Gross
BACKGROUND: Surgery is indicated for cerebral cavernous malformations (CCM) that cause medically refractory epilepsy. Real-time magnetic resonance thermography (MRT)-guided stereotactic laser ablation (SLA) is a minimally invasive approach to treating focal brain lesions. SLA of CCM has not previously been described. OBJECTIVE: To describe MRT-guided SLA, a novel approach to treating CCM-related epilepsy, with respect to feasibility, safety, imaging, and seizure control in 5 consecutive patients...
March 2016: Operative Neurosurgery (Hagerstown, Md.)
https://www.readbyqxmd.com/read/27930513/percutaneous-trigeminal-ganglion-radiofrequency-thermocoagulation-alleviates-anxiety-and-depression-disorders-in-patients-with-classic-trigeminal-neuralgia-a-cohort-study
#8
YuanZhang Tang, Ling Ma, Na Li, Yuna Guo, Liqiang Yang, Baishan Wu, Jianning Yue, Qi Wang, Jingjie Liu, Jia-Xiang Ni
Trigeminal neuralgia (TN) is a neurological condition that presents as excruciating facial pain. Depression and anxiety are commonly associated with TN; however, anxiety and depression disorders in patients with TN and the effects of the various therapeutic strategies for TN on these disorders are not well studied.To evaluate depression and anxiety in patients with trigeminal neuralgia (TN), identify factors that predict their occurrence and study the effect of the percutaneous trigeminal ganglion radiofrequency thermocoagulation (PRT) procedure for alleviating pain on depression and anxiety...
December 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27902620/long-term-outcomes-of-percutaneous-radiofrequency-thermocoagulation-for-glossopharyngeal-neuralgia-a-retrospective-observational-study
#9
Xiaoping Wang, Yuanzhang Tang, Yuanjie Zeng, Jiaxiang Ni
The aim of this study was to investigate the long-term results of computed tomography (CT)-guided percutaneous radiofrequency thermocoagulation (PRT) for glossopharyngeal neuralgia (GPN).A retrospective review of medical records for patients with GPN who were treated with CT-guided PRT between 2003 and 2014 was performed to investigate baseline characteristics and immediate outcomes during the hospitalization. Long-term pain relief outcomes and complications were obtained via telephone survey. Duration of pain-free was assessed by Kaplan-Meier analysis...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27859033/stereo-electroencephalography-guided-radiofrequency-thermocoagulation-seeg-guided-rf-tc-in-drug-resistant-focal-epilepsy-results-from-a-10-year-experience
#10
Pierre Bourdillon, Jean Isnard, Hélène Catenoix, Alexandra Montavont, Sylvain Rheims, Philippe Ryvlin, Karine Ostrowsky-Coste, François Mauguiere, Marc Guénot
OBJECTIVE: Stereo electroencephalography (SEEG)-guided radiofrequency thermocoagulation (SEEG-guided RF-TC) has been proposed since 2004 as a possible treatment of some focal drug-resistant epilepsy. The aim of this study is to provide extensive data about efficacy and safety of SEEG-guided RF-TC. METHODS: Over a 10-year period, 162 patients with drug-resistant focal epilepsy were eligible for SEEG-guided RF-TG during phase II invasive investigation by SEEG. All follow-up and safety data were collected prospectively...
January 2017: Epilepsia
https://www.readbyqxmd.com/read/27858881/efficacy-and-safety-of-continuous-radiofrequency-thermocoagulation-plus-pulsed-radiofrequency-for-treatment-of-v1-trigeminal-neuralgia-a-prospective-cohort-study
#11
Peng Yao, Tao Hong, Yong-Qiang Zhu, Hong-Xi Li, Zhi-Bin Wang, Yuan-Yuan Ding, Jia-Ming Ma, Shi-Nong Pan
Patients may develop serious eye complications after continuous radiofrequency thermocoagulation (CRF) for V1 (ophthalmic division) trigeminal neuralgia (TN) at a higher temperature. Therefore, the temperature of clinical CRF for V1 TN has long been disputed, but there have few reports been found about how to achieve satisfactory pain relief, reduce the incidence rates of complications, and shorten the recovery time after CRF for V1 TN.To observe whether pulsed radiofrequency (PRF) can lead to increased rate in pain relief, reduced rate of complications, or shortened recovery time after CRF is used to treat V1 idiopathic trigeminal neuralgia (ITN)...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27828784/peripheral-neuromodulation-for-the-treatment-of-postamputation-neuroma-pain-a-case-report
#12
Kaare Meier, Thomas F Bendtsen, Jens Christian Sørensen, Lone Nikolajsen
Neuroma pain can be severe, persistent, and treatment resistant. We present a case of a 37-year-old female amputee who suffered from severe neuroma pain, which had proved resistant to pharmacologic treatment, glycerol injections, spinal cord stimulation, radiofrequency thermocoagulation, and repeated surgical removals. After treatment with peripheral nerve stimulation, using a St. Jude Medical Octrode lead implanted percutaneously under ultrasound guidance close to her painful neuroma, her ongoing pain dramatically decreased from 8 to 3 on a numeric rating scale (0-10)...
January 15, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/27763948/comparison-of-the-efficacy-of-reoperation-percutaneous-radiofrequency-thermocoagulation-when-microvascular-decompression-of-trigeminal-neuralgia-is-invalid
#13
Xin Zhang, Hua Zhao, Yinda Tang, Jin Zhu, Xuhui Wang, Shiting Li
OBJECTIVE: To compare the curative effect of reoperation in short-term and percutaneous radiofrequency thermocoagulation (PRT) when trigeminal neuralgia patient after microvascular decompression (MVD) is invalid. METHODS: Follow-up of 54 patients (30 patients with reoperation in the short term, 24 patients with PRT of primitive trigeminal neuralgia) when MVD is invalid between January 2008 and December 2014. To evaluate the degree of pain relief and facial numbness of patients after the treatment in short-term (1 month), in long-term (1 year)...
October 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27759655/alternation-of-regional-homogeneity-in-trigeminal-neuralgia-after-percutaneous-radiofrequency-thermocoagulation-a-resting-state-fmri-study
#14
Zhi Dou, Xueyi Zhang, Liqiang Yang, Wanqian Wang, Na Li, Zhicheng Liu, Jiaxiang Ni
We used resting-state fMRI to investigate regional homogeneity (ReHo) changes in patients with TN before and after PRT procedure, and to speculate about its possible mechanisms.Thirty-one TN patients underwent the PRT procedure had MRI scans just before and 6 months after surgery. The anatomical and resting-state functional images were all acquired. Patients' visual analog scales (VAS) scores, facial numbness, and disease duration were also recorded. Voxel-wise ReHo analysis was performed to detect the altered regional clusters after surgery...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27755416/the-role-of-percutaneous-radiofrequency-thermocoagulation-for-persistent-or-recurrent-trigeminal-neuralgia-after-surgery
#15
Pengfei Liu, Wenxiang Zhong, Chenlong Liao, Min Yang, Wenchuan Zhang
Therapeutic strategy is controversial and not yet uniform for patients with trigeminal neuralgia (TN) and persistent or recurrent facial pain after microvascular decompression, percutaneous radiofrequency thermocoagulation (PRT), or Gamma Knife surgery. The outcomes and risks of PRT for these patients are not clearly understood. The authors performed a retrospective study of 84 patients with persistent or recurrent TN after surgery who then underwent PRT between 2007 and 2013. Data were obtained with chart review and telephone interviews...
October 14, 2016: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/27749549/percutaneous-radiofrequency-thermocoagulation-for-trigeminal-neuralgia-using-neuronavigation-guided-puncture-from-a-mandibular-angle
#16
RANDOMIZED CONTROLLED TRIAL
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/27749531/application-of-radiofrequency-thermocoagulation-combined-with-adriamycin-injection-in-dorsal-root-ganglia-for-controlling-refractory-pain-induced-by-rib-metastasis-of-lung-cancer-a-strobe-compliant-article
#17
Guang-Lun Xie, Da-Peng Guo, Zhi-Gang Li, Chang Liu, Wei Zhang
This study aimed to observe the therapeutic effects and adverse reactions of radiofrequency thermocoagulation combined with adriamycin injection in dorsal root ganglia on lung cancer rib metastasis-related refractory pain which has no response to conventional therapy.This study contained 27 patients with lung cancer rib metastasis-related moderate or severe pain which had no response to conventional therapy. Under computed tomography (CT)-guidance, radiofrequency puncture need reached the corresponding intervertebral foramens to ensure needle point near dorsal root ganglia (DRG) by sensory and motor stimulation tests, and then radiofrequency thermocoagulation was performed on each corresponding DRG followed by injection of 0...
October 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27729303/pulsed-radiofrequency-a-management-option-for-recurrent-trigeminal-neuralgia-following-radiofrequency-thermocoagulation
#18
Chenlong Liao, Massimiliano Visocchi, Min Yang, Pengfei Liu, Shiting Li, Wenchuan Zhang
BACKGROUND: Pain relief comparable with radiofrequency thermocoagulation (RFT) alone and fewer side effects than RFT have been achieved by combination treatment with pulsed radiofrequency (PRF) and short-duration RFT in trigeminal neuralgia (TN). CASE DESCRIPTION: We report the successful management of recurrent TN after RFT with single PRF in 2 patients. The RFT treatment was performed in 2-3 cycles for each division, with the lesion setting at 75°C-80°C for 90 seconds...
January 2017: World Neurosurgery
https://www.readbyqxmd.com/read/27706545/rescue-therapy-of-a-refractory-rectal-variceal-bleeding-in%C3%A2-a-cirrhotic-patient-by-linton-nachlas-tube-and-tips-implantation-in-combination-with-variceal-embolization
#19
Matthias Buechter, Jens M Theysohn, Alisan Kahraman, Paul Manka, Guido Gerken, Ali Canbay, Alexander Dechêne
Background Transjugular intrahepatic portosystemic shunt (TIPS) is considered the gold standard for treatment of gastrointestinal variceal bleeding refractory to endoscopic therapy in patients with portal hypertension. Clinically relevant hemorrhage from rectal varices is less frequent than from other sources, and the therapeutic role of TIPS is still ambiguous. Case report A 57-year-old female patient was referred to us in December 2015 with severe signs of decompensated alcohol-induced liver cirrhosis...
January 2017: Zeitschrift Für Gastroenterologie
https://www.readbyqxmd.com/read/27676675/the-effectiveness-and-safety-of-thermocoagulation-radiofrequency-treatment-of-the-ophthalmic-division-v1-and-or-maxillary-v2-and-mandibular-v3-division-in-idiopathic-trigeminal-neuralgia-an-observational-study
#20
QiaoDong Huang, XiaoMing Liu, JinSheng Chen, CunJu Bao, DongYang Liu, ZeZang Fang, XiaoYu Liang, ZhenHe Lu, Li Wan
BACKGROUND: Trigeminal neuralgia (TN) is a pain appearing in the ophthalmic (V1), maxillary (V2), and mandibular (V3) trigeminal branches. Pharmacologic treatment is the first line for TN; however, many patients prefer to receive minimally invasive treatment rather than medicine because of intolerable side effects. Thermocoagulation radiofrequency (TRF) is a minimally invasive treatment that has been shown to effectively treat the maxillary (V2) and mandibular (V3) divisions, but the safety of TRF treatment of the ophthalmic (V1) division has been controversial...
September 2016: Pain Physician
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