Radiosurgical treatment of trigeminal neuralgia using the CyberKnife system
DOI:
https://doi.org/10.31636/pmjua.v5i3.4Keywords:
trigeminal neuralgia, radiosurgical treatment, CyberKnifeAbstract
Trigeminal neuralgia (TN) is the most common neuralgia, among others. In the Medical Center of Yuriy Spizhenko LLC from 2013 to 2020, 24 patients with TN were treated using the CyberKnife unified robotic system for radiosurgical treatment. This system is the maximum accuracy of <1 mm of receiving a therapeutic dose in a pathological tissue with minimal exposure to surrounding tissues due to a sharp drop in the dose gradient. A positive effect of the treatment was observed in 19 patients. 4 patients did not notice any improvement in their condition, an additional rhizotomy was performed, and 3 patients underwent drug blockade and continued taking carbamazepine. The CyberKnife robotic system for radiosurgical treatment is a safe, effective alternative to invasive surgical intervention, without the need for additional rehabilitation period and improves the patient's quality of life
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International Association for the Study of Pain Trigeminal Neuralgia and Persistent Idiopathic Facial Pain. 2011] [Internet] Avialable from: http://s3.amazonaws.com/rdcms-iasp/files/production/public/ Content/ContentFolders/GlobalYearAgainstPain2/HeadacheFactSheets/7-TrigeminalNeuralgia.pdf
Cruccu G, Gronseth G, Alksne J, Argoff C, Brainin M, Burchiel K, et al. AAN-EFNS guidelines on trigeminal neuralgia management. European Journal of Neurology [Internet]. Wiley; 2008 Aug 21;15(10):1013–28. Available from: https://doi.org/10.1111/j.1468–1331. 2008.02185.x
Gronseth G, Cruccu G, Alksne J, Argoff C, Brainin M, Burchiel K, et al. Practice Parameter: The diagnostic evaluation and treatment of trigeminal neuralgia (an evidence-based review): Report of the Quality Standards Subcommittee of the American Academy of Neurology and the European Federation of Neurological Societies. Neurology [Internet]. Ovid Technologies (Wolters Kluwer Health); 2008 Aug 20;71(15):1183– 90. Available from: https://doi.org/10.1212/01. wnl.0000326598.83183.04
Romanelli P, Conti A, Redaelli I, Martinotti AS, Bergantin A, Bianchi LC, et al. CyberKnife Radiosurgery for Trigeminal Neuralgia. Cureus [Internet]. Cureus, Inc.; 2019 Oct 28; Available from: https://doi.org/10.7759/ cureus.6014
Fariselli L, Ghielmetti F, Bosetti D, Franzini A, Marchetti M. The role of radiosurgery in trigeminal neuralgia. Neurological Sciences [Internet]. Springer Science and Business Media LLC; 2017 May;38(S1):63–5. Available from: https://doi.org/10.1007/s10072– 017–2892-y
Berti A, Ibars G, Wu X, Sabo A, Granville M, Suarez G, et al. Evaluation of CyberKnife Radiosurgery for Recurrent Trigeminal Neuralgia. Cureus [Internet]. Cureus, Inc.; 2018 May 9; Available from: https://doi. org/10.7759/cureus.2598
Obermann M. Recent advances in understanding/ managing trigeminal neuralgia. F1000Research [Internet]. F1000 Research Ltd; 2019 Apr 17;8:505. Available from: https://doi.org/10.12688/f1000research.16092.1
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This work is licensed under a Creative Commons Attribution 4.0 International License.
This work is licensed under a Creative Commons Attribution 4.0 International License