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Trigeminal Neuralgia, An Issue of Neurosurgery Clinics of North America, E-Book

Trigeminal Neuralgia, An Issue of Neurosurgery Clinics of North America, E-Book

John Y.K. Lee | Michael Lim

(2016)

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Book Details

Abstract

This issue of Neurosurgery Clinics offers a broad review of current topics surrounding trigeminal neuralgia including: Overview and History, Diagnosis/Etiology, Scales of measuring TN pain and response, Medical Therapy, Role of Imaging, Rhizotomy, SRS, Microscopic MVD, Neuromodulation, and many more articles that focus on trigeminal neuralgia.


Table of Contents

Section Title Page Action Price
Front Cover Cover
Trigeminal Neuralgia i
Copyright ii
Contributors iii
CONSULTING EDITORS iii
EDITORS iii
AUTHORS iii
Contents v
Preface v
Overview and History of Trigeminal Neuralgia v
Percutaneous Procedures for the Treatment of Trigeminal Neuralgia v
Gamma Knife Surgery in Trigeminal Neuralgia v
Endoscopic and Microscopic Microvascular Decompression v
The Role of Imaging for Trigeminal Neuralgia: A Segmental Approach to High-Resolution MRI vi
Measurement of Trigeminal Neuralgia Pain: Penn Facial Pain Scale vi
Management of Skull Base Tumor–Associated Facial Pain vi
Chronic/Persistent Idiopathic Facial Pain vi
Future Directions for Surgical Trial Designs in Trigeminal Neuralgia vii
Surgical Options for Atypical Facial Pain Syndromes vii
NEUROSURGERY CLINICS OF NORTH AMERICA viii
FORTHCOMING ISSUES viii
October 2016 viii
January 2017 viii
April 2017 viii
July 2017 viii
October 2017 viii
RECENT ISSUES viii
April 2016 viii
January 2016 viii
October 2015 viii
July 2015 viii
Preface ix
Overview and History of Trigeminal Neuralgia 265
Key points 265
INTRODUCTION 265
Evolution of Therapies for Trigeminal Neuralgia 266
Medical management 266
Percutaneous Ablative Techniques 266
Percutaneous chemoneurolysis 266
Percutaneous radiofrequency lesioning 267
Percutaneous balloon microcompression 267
Stereotactic Radiosurgery 267
Open Surgical Management of Trigeminal Neuralgia 267
Nerve sectioning 267
Evolution of microvascular decompression 269
Dandy’s observation of neurovascular compression 269
Resurrection of a repressed theory 272
Acceptance of the Jannetta procedure 273
SUMMARY 274
REFERENCES 275
Percutaneous Procedures for the Treatment of Trigeminal Neuralgia 277
Key points 277
INTRODUCTION 277
HISTORY AND CONCEPTION 277
PATIENT SELECTION AND EVALUATION 278
SURGICAL TECHNIQUE 279
Percutaneous Balloon Rhizotomy 279
Radiofrequency Thermocoagulation 279
Glycerol Rhizotomy 280
Intraoperative Complications 280
PATIENT OUTCOMES 280
Percutaneous Balloon Compression 280
Radiofrequency Thermocoagulation 283
Glycerol Rhizotomy 284
Study Limitations 286
Comparative Treatment Efficacy 286
Treatment Cost Effectiveness 289
Refractory or Recurrent Trigeminal Neuralgia 290
SUMMARY 290
REFERENCES 291
Gamma Knife Surgery in Trigeminal Neuralgia 297
Key points 297
INTRODUCTION 297
EFFECTIVENESS OF GAMMA KNIFE SURGERY FOR IDIOPATHIC TRIGEMINAL NEURALGIA 297
LATENCY UNTIL PAIN RELIEF AFTER GAMMA KNIFE SURGERY 298
DURABILITY OF PAIN RELIEF WITH GAMMA KNIFE SURGERY AND PREDICTORS OF SUCCESS 298
SIDE EFFECTS OF GAMMA KNIFE SURGERY FOR TRIGEMINAL NEURALGIA 298
THE ROLE OF REPEAT GAMMA KNIFE SURGERY FOR TRIGEMINAL NEURALGIA 300
IS THERE AN OPTIMAL TIME TO UNDERGO GAMMA KNIFE SURGERY FOR TRIGEMINAL NEURALGIA? 300
QUALITY OF LIFE IN PATIENTS WITH TRIGEMINAL NEURALGIA 301
TUMOR-ASSOCIATED TRIGEMINAL NEURALGIA: A NOVEL TREATMENT APPROACH 302
SUMMARY 302
REFERENCES 302
Endoscopic and Microscopic Microvascular Decompression 305
Key points 305
INTRODUCTION 305
TECHNICAL AND ANATOMIC CONSIDERATIONS OF CEREBELLOPONTINE ANGLE ENDOSCOPIC SURGERY 306
PATIENT SELECTION AND PREOPERATIVE WORKUP 308
OPERATIVE TECHNIQUE 308
ENDOSCOPIC-ASSISTED MICROVASCULAR DECOMPRESSION 310
MICROSCOPIC MICROVASCULAR DECOMPRESSION 311
POTENTIAL PITFALLS AND BAILOUT 311
POSTOPERATIVE CARE AND COMPLICATIONS 311
COMPLICATIONS 311
OUTCOMES 311
SUMMARY 312
REFERENCES 312
The Role of Imaging for Trigeminal Neuralgia 315
Key points 315
INTRODUCTION 315
NORMAL MRI APPEARANCE OF THE TRIGEMINAL NERVE BY SEGMENT 315
IMAGING OF NEUROVASCULAR CONTACT 317
IMAGING OF OTHER CAUSES OF TRIGEMINAL NEURALGIA 320
POSTOPERATIVE IMAGING AFTER MICROVASCULAR DECOMPRESSION 322
UNDERSTANDING THE PATHOGENESIS OF TRIGEMINAL NEURALGIA THROUGH IMAGING 322
SUMMARY 324
REFERENCES 324
Measurement of Trigeminal Neuralgia Pain 327
Key points 327
INTRODUCTION 327
REVIEW OF PAIN SCALES AND PATIENT-REPORTED OUTCOME MEASURES 328
Visual Analog Scale 328
Management of Skull Base Tumor–Associated Facial Pain 337
Key points 337
INTRODUCTION 337
CATEGORIES OF SKULL BASE TUMORS ASSOCIATED WITH FACIAL PAIN 337
Posterior and Middle Cranial Fossa Tumors 338
Head and Neck Tumors 338
Distal Tumors 340
TREATMENT OF TUMOR-ASSOCIATED FACIAL PAIN 340
Medical 341
Symptomatic therapy 341
Curative therapy 341
Radiosurgery 342
Surgical 342
Surgical resection 342
Destructive procedures 343
SUMMARY 343
ACKNOWLEDGMENTS 343
REFERENCES 343
Chronic/Persistent Idiopathic Facial Pain 345
Key points 345
INTRODUCTION 345
EPIDEMIOLOGY 346
Risk Factors 346
Major Predictors of Outcome 346
CLINICAL FEATURES 346
INVESTIGATIONS 346
OVERALL MANAGEMENT 347
PHARMACOLOGIC TREATMENT OPTIONS 347
NONPHARMACOLOGIC TREATMENT OPTIONS 349
COMBINATION THERAPIES 349
SURGICAL TREATMENT OPTIONS 349
EVALUATION OF OUTCOME AND LONG-TERM RECOMMENDATIONS 349
SUMMARY/DISCUSSION 349
REFERENCES 350
Future Directions for Surgical Trial Designs in Trigeminal Neuralgia 353
Key points 353
INTRODUCTION–WHICH TRIALS ARE NEEDED? 353
Comparison of Medical Versus Surgical Treatments 353
Comparison of the Different Surgical Techniques 354
New and Comparative Drug Trials 354
Addition of Psychological Therapies 354
PROBLEMS WITH RANDOMIZED CONTROLLED TRIALS 354
Recruitment 354
Ethical issues 355
Patient Preferences 355
Treatment Comparisons 355
Diagnosis 355
Timing 356
Funding 356
Choice of Comparators 356
Surgeons' Equipoise 357
Interventions 357
Blinding 357
Randomization 357
Outcome Measures 358
FUTURE APPROACHES 359
TRIALS WITHIN COHORTS 359
Cohort Multiple Randomized Controlled Trial Design 359
Randomised Controlled Trial Within a Cohort Design 361
SUMMARY 361
REFERENCES 361
Surgical Options for Atypical Facial Pain Syndromes 365
Key points 365
INTRODUCTION 365
Diagnosis and Anatomy 367
Surgical Options 367
Nucleus caudalis dorsal root entry zone lesioning 367
Motor cortex stimulation 368
Other surgical interventions 369
SUMMARY 369
REFERENCES 369
Index 371