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- W2466075393 abstract "Introduction: Trigimenal neuralgia (TN) is the most common form of cranial neuralgia. It was characterized by unilateral, sharp, electric-shock-type and recurrent pain confined to the somatosensory territory of the trigeminal nerve. The most common cause of TN is compression of the adjacent vessels. The treatment option includes phannacology, surgery and percutaneous procedures. Considering to the effectiveness of all percutaneous interventions, radiofrequency thennocoagulation has the best evidence-supportive pain relief and selectivity. Methods: Under intravenous propofol light sedation, a total of 16 patients with trigeminal neuralgia underwent 21 percutaneous controlled radiofrequency trigeminal rhizotomy (RF-TR) procedures in 2 years. We confinned the localization of RF needle within the Gasserian ganglion by the fluoroscopic guidance and electrical stimulation at 0.2 to 1 V (50 Hz, 0.2 ms). Thermocoagulation lesions were made at a temperature of60 to 65℃ for 90 seconds twice at each target. There were 4 patients (25%) treated with multiple procedures due to the recurrence of pain. Results: The average follow-up time was 20.3±4.3 months (range, 9-24 months). Acute pain relief was reported in 90.5% of patients with a single procedure or multiple procedures. After the first procedure was performed, early pain recurrence (＜6 months) was observed in 3 patients (14.3%) and late pain recurrent(＞6 months) was observed in 5 patients (23.8%). At 2-year follow-up, 7(43.8%) patients who underwent a single procedure had still experienced pain relief. Transient complications included minor dysesthesia in one patient (4.7%), ear pain and tinnitus in one patient (4.7%), facial hematoma in two patients(9.5%). There were no pennanent severe mobility or mortality noted. Conclusion: Percutaneous RF-TR is an effective, safe treatment for trigeminal neuralgia. The relative lower temperature compare to the conventional (60-80℃) thennocoagulation lesions could reduce the complications. The procedure may be repeated if pain recurs." @default.
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- W2466075393 date "2015-03-01" @default.
- W2466075393 modified "2023-09-24" @default.
- W2466075393 title "A Retrospective Analysis of Patients with Trigeminal Neuralgia Who Underwent Percutaneous Controlled Lower Temperature Radiofrequency Thermocoagulation of the Gasserian Ganglion: 2-year-Experience" @default.
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