A multiarray mapping method to minimize morbidity from thermocoagulation as treatment of refractory trigeminal neuralgia
Background: Conventional percutaneous thermocoagulation of postgasserian fibers has shown high success rates, with significant residual morbidity. Methods: This communication summarizes conclusions of multiple publications on our computerized mapping method and technique, and presents new data on sh...
Guardado en:
| Autores principales: | , , , |
|---|---|
| Formato: | JOUR |
| Materias: | |
| Acceso en línea: | http://hdl.handle.net/20.500.12110/paper_00903019_v71_n4_p411_Karol |
| Aporte de: |
| id |
todo:paper_00903019_v71_n4_p411_Karol |
|---|---|
| record_format |
dspace |
| spelling |
todo:paper_00903019_v71_n4_p411_Karol2023-10-03T14:54:33Z A multiarray mapping method to minimize morbidity from thermocoagulation as treatment of refractory trigeminal neuralgia Karol, E.A. Karol, B. Perez, A. Cueto, G. Functional neurosurgery Pain Thermocoagulation Thermorhyzotomy Trigeminal neuralgia tricyclic antidepressant agent adult aged analgesia article computer program controlled study cranial nerve paralysis disease duration dysesthesia facial nerve paralysis female hematoma herpes simplex human major clinical study male morbidity needle refractory period thermocoagulation trigeminus neuralgia Adult Aged Aged, 80 and over Brain Mapping Computers Electric Stimulation Electrocoagulation Electrodiagnosis Female Fluoroscopy Humans Male Microelectrodes Middle Aged Monitoring, Intraoperative Neuronavigation Neurosurgical Procedures Postoperative Complications Transcutaneous Electric Nerve Stimulation Treatment Outcome Trigeminal Ganglion Trigeminal Neuralgia Background: Conventional percutaneous thermocoagulation of postgasserian fibers has shown high success rates, with significant residual morbidity. Methods: This communication summarizes conclusions of multiple publications on our computerized mapping method and technique, and presents new data on short- and long-term results on trigeminal pain, including an actuarial analysis, complications. Results: In TTN, 97.4% of 75 procedures produced initial pain relief without medication. In all, 84.7% of appropriate verbal responses were achieved by proper location of the needle at the chosen target, requiring an average of 1.45 tracts per procedure. Needle tip was located between 1 and 15 mm below the sellar floor in 97.0% of procedures and in an angle of 40° to 80° regarding the clivus profile projection in 99.1%. A 93% reduction of corneal analgesia and a 100% suppression of major dysesthesias and cranial nerve palsies were found. Conclusion: We have shown a significant reduction of morbidity from percutaneous thermocoagulation of postgasserian fibers with similar short- and long-term results as those shown in 11 recently selected series. Strict adherence to all details of our new method and technique is essential. Future multiinstitutional studies are needed to confirm and enrich this small series. © 2009 Elsevier Inc. All rights reserved. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_00903019_v71_n4_p411_Karol |
| institution |
Universidad de Buenos Aires |
| institution_str |
I-28 |
| repository_str |
R-134 |
| collection |
Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) |
| topic |
Functional neurosurgery Pain Thermocoagulation Thermorhyzotomy Trigeminal neuralgia tricyclic antidepressant agent adult aged analgesia article computer program controlled study cranial nerve paralysis disease duration dysesthesia facial nerve paralysis female hematoma herpes simplex human major clinical study male morbidity needle refractory period thermocoagulation trigeminus neuralgia Adult Aged Aged, 80 and over Brain Mapping Computers Electric Stimulation Electrocoagulation Electrodiagnosis Female Fluoroscopy Humans Male Microelectrodes Middle Aged Monitoring, Intraoperative Neuronavigation Neurosurgical Procedures Postoperative Complications Transcutaneous Electric Nerve Stimulation Treatment Outcome Trigeminal Ganglion Trigeminal Neuralgia |
| spellingShingle |
Functional neurosurgery Pain Thermocoagulation Thermorhyzotomy Trigeminal neuralgia tricyclic antidepressant agent adult aged analgesia article computer program controlled study cranial nerve paralysis disease duration dysesthesia facial nerve paralysis female hematoma herpes simplex human major clinical study male morbidity needle refractory period thermocoagulation trigeminus neuralgia Adult Aged Aged, 80 and over Brain Mapping Computers Electric Stimulation Electrocoagulation Electrodiagnosis Female Fluoroscopy Humans Male Microelectrodes Middle Aged Monitoring, Intraoperative Neuronavigation Neurosurgical Procedures Postoperative Complications Transcutaneous Electric Nerve Stimulation Treatment Outcome Trigeminal Ganglion Trigeminal Neuralgia Karol, E.A. Karol, B. Perez, A. Cueto, G. A multiarray mapping method to minimize morbidity from thermocoagulation as treatment of refractory trigeminal neuralgia |
| topic_facet |
Functional neurosurgery Pain Thermocoagulation Thermorhyzotomy Trigeminal neuralgia tricyclic antidepressant agent adult aged analgesia article computer program controlled study cranial nerve paralysis disease duration dysesthesia facial nerve paralysis female hematoma herpes simplex human major clinical study male morbidity needle refractory period thermocoagulation trigeminus neuralgia Adult Aged Aged, 80 and over Brain Mapping Computers Electric Stimulation Electrocoagulation Electrodiagnosis Female Fluoroscopy Humans Male Microelectrodes Middle Aged Monitoring, Intraoperative Neuronavigation Neurosurgical Procedures Postoperative Complications Transcutaneous Electric Nerve Stimulation Treatment Outcome Trigeminal Ganglion Trigeminal Neuralgia |
| description |
Background: Conventional percutaneous thermocoagulation of postgasserian fibers has shown high success rates, with significant residual morbidity. Methods: This communication summarizes conclusions of multiple publications on our computerized mapping method and technique, and presents new data on short- and long-term results on trigeminal pain, including an actuarial analysis, complications. Results: In TTN, 97.4% of 75 procedures produced initial pain relief without medication. In all, 84.7% of appropriate verbal responses were achieved by proper location of the needle at the chosen target, requiring an average of 1.45 tracts per procedure. Needle tip was located between 1 and 15 mm below the sellar floor in 97.0% of procedures and in an angle of 40° to 80° regarding the clivus profile projection in 99.1%. A 93% reduction of corneal analgesia and a 100% suppression of major dysesthesias and cranial nerve palsies were found. Conclusion: We have shown a significant reduction of morbidity from percutaneous thermocoagulation of postgasserian fibers with similar short- and long-term results as those shown in 11 recently selected series. Strict adherence to all details of our new method and technique is essential. Future multiinstitutional studies are needed to confirm and enrich this small series. © 2009 Elsevier Inc. All rights reserved. |
| format |
JOUR |
| author |
Karol, E.A. Karol, B. Perez, A. Cueto, G. |
| author_facet |
Karol, E.A. Karol, B. Perez, A. Cueto, G. |
| author_sort |
Karol, E.A. |
| title |
A multiarray mapping method to minimize morbidity from thermocoagulation as treatment of refractory trigeminal neuralgia |
| title_short |
A multiarray mapping method to minimize morbidity from thermocoagulation as treatment of refractory trigeminal neuralgia |
| title_full |
A multiarray mapping method to minimize morbidity from thermocoagulation as treatment of refractory trigeminal neuralgia |
| title_fullStr |
A multiarray mapping method to minimize morbidity from thermocoagulation as treatment of refractory trigeminal neuralgia |
| title_full_unstemmed |
A multiarray mapping method to minimize morbidity from thermocoagulation as treatment of refractory trigeminal neuralgia |
| title_sort |
multiarray mapping method to minimize morbidity from thermocoagulation as treatment of refractory trigeminal neuralgia |
| url |
http://hdl.handle.net/20.500.12110/paper_00903019_v71_n4_p411_Karol |
| work_keys_str_mv |
AT karolea amultiarraymappingmethodtominimizemorbidityfromthermocoagulationastreatmentofrefractorytrigeminalneuralgia AT karolb amultiarraymappingmethodtominimizemorbidityfromthermocoagulationastreatmentofrefractorytrigeminalneuralgia AT pereza amultiarraymappingmethodtominimizemorbidityfromthermocoagulationastreatmentofrefractorytrigeminalneuralgia AT cuetog amultiarraymappingmethodtominimizemorbidityfromthermocoagulationastreatmentofrefractorytrigeminalneuralgia AT karolea multiarraymappingmethodtominimizemorbidityfromthermocoagulationastreatmentofrefractorytrigeminalneuralgia AT karolb multiarraymappingmethodtominimizemorbidityfromthermocoagulationastreatmentofrefractorytrigeminalneuralgia AT pereza multiarraymappingmethodtominimizemorbidityfromthermocoagulationastreatmentofrefractorytrigeminalneuralgia AT cuetog multiarraymappingmethodtominimizemorbidityfromthermocoagulationastreatmentofrefractorytrigeminalneuralgia |
| _version_ |
1782026985400172544 |