Summary
The authors report on indications and results of percutaneous surgical treatment of trigeminal neuralgia based on own experiences in 1124 cases. In 912 cases percutaneous thermorhizotomy and in 212 cases percutaneous microcompression have been used.
As a conclusion the following considerations have been stressed:
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I)
In both methods slight hypaesthesia appears to obtain good pain relief;
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II)
Percutaneous thermorhizotomy is indicated in third division neuralgias;
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III)
Percutaneous microcompression is indicated for first and second division neuralgias only when the trigeminal cistern is not abnormally dilated;
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IV)
Undesirable side-effects after either thermorhizotomy and microcompression are similar and transitory in most cases;
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V)
Pain recurrence for both procedures are comparable and range at about 25%.
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References
Frank F, Tognetti F, Gaist G, Frank G, Galassi E, Fabrizi A (1983) Percutaneous trigeminal thermorhizotomy in treatment of malignant facial pain. Acta Neurochir (Wien) 69: 283–289
Frank F, Gaist G, Fabrizi A, Cohadon F, Laporte A, Sedan R, Peragut JC, Sethian M, Sturiale C (1985) Résultats de la thermocoagulation percutanée sélective du ganglion de gasser dans la névralgie faciale essentielle. Neurochirurgie 31: 179–182
Hakanson S (1981) Trigeminal neuralgia treated by the injection of glycerol into the trigeminal cistern. Neurosurgery 9: 638–644
Jannetta PJ (1976) Microsurgical approach to the trigeminal nerve for tic douloureux. Prog Neurol Surg 7: 180–200
Mullan S, Lichtor T (1983) Percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia. J Neurosurg 59: 1007–1012
Sweet WH, Wepsic JG (1974) Controlled thermocoagulation of trigeminal ganglion and rootlets for differential destruction of pain fibers. Part 1: Trigeminal neuralgia. J Neurosurg 40: 143–156
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Frank, F., Fabrizi, A.P. Percutaneous surgical treatment of trigeminal neuralgia. Acta neurochir 97, 128–130 (1989). https://doi.org/10.1007/BF01772823
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DOI: https://doi.org/10.1007/BF01772823