CyberKnife stereotactic radiosurgical rhizotomy for refractory trigeminal neuralgia

被引：20

作者：

Tang, Chi-Tun ^{[1
]}

Chang, Steven D. ^{[2
]}

Tseng, Kuan-Yin ^{[1
]}

Liu, Ming-Ying ^{[1
]}

Ju, Da-Tong ^{[1
]}

机构：

[1] Triserv Gen Hosp, Dept Neurol Surg, Natl Def Med Ctr, Taipei 11490, Taiwan

[2] Stanford Univ, Med Ctr, Dept Neurosurg, Stanford, CA 94305 USA

来源：

JOURNAL OF CLINICAL NEUROSCIENCE | 2011年 / 18卷 / 11期

关键词：

Stereotactic radiosurgery; Trigeminal neuralgia; CyberKnife; Rhizotomy; Dysesthesia; GAMMA-KNIFE RADIOSURGERY; LINEAR-ACCELERATOR RADIOSURGERY; CONFORMITY; RISK;

D O I：

10.1016/j.jocn.2011.03.012

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

100204 [神经病学];

摘要：

Stereotactic radiosurgery (SRS) has been established as an option for the treatment of trigeminal neuralgia (TN). Here, we report our experience of CyberKnife (R)-based (Accuray, Sunnyvale, CA, USA) stereotactic rhizotomy on medically refractory patients to determine its clinical effectiveness. Between January 2007 and December 2009, 14 selected patients underwent SRS for TN at our CyberKnife Center. Patients were evaluated for pain relief using a visual analog scale (VAS) score, time to reach pain relief (latency), duration of pain control, decrease of pain medication, occurrence of new dysesthesia, and side effects at the 3-month, 6-month, 1-year and 2-year follow-up. A literature analysis revealed that compared with other SRS systems, which can provide a high rate of pain control, CyberKnife (R) stereotactic rhizotomy yielded an earlier onset of pain relief in our cohort. (C) 2011 Elsevier Ltd. All rights reserved.

引用

页码：1449 / 1453

页数：5

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