Cited 7 times in
Gamma Knife Radiosurgery for Idiopathic Trigeminal Neuralgia: Does the Status of Offending Vessels Influence Pain Control or Side Effects?
DC Field | Value | Language |
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dc.contributor.author | 박창규 | - |
dc.contributor.author | 장원석 | - |
dc.contributor.author | 장진우 | - |
dc.contributor.author | 정현호 | - |
dc.date.accessioned | 2018-07-20T07:44:28Z | - |
dc.date.available | 2018-07-20T07:44:28Z | - |
dc.date.issued | 2017 | - |
dc.identifier.issn | 1878-8750 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/160479 | - |
dc.description.abstract | OBJECTIVE: To evaluate pain control and side effects after gamma knife radiosurgery (GKRS) for classical idiopathic trigeminal neuralgia (TN) with or without neurovascular compression (NVC). METHODS: This study included 47 patients with type 1 idiopathic TN and Barrow Neurological Institute (BNI) pain class IV or V who were treated with GKRS, with a maximum dose of 85 Gy targeting the root entry zone, as an initial treatment modality between January 2005 and March 2015. A retrospective analysis of NVC status, pain control, side effects, recurrence, and cross-sectional area was conducted. RESULTS: During follow-up (median, 21.5 months; range, 3-119 months), 36 of the 47 patients (76.6%) demonstrated good outcomes (i.e., improved to below BNI class IIIa). Twenty-two patients did not have NVC (group A) and 25 had NVC (group B). The rate of good outcomes did not differ significantly between the 2 groups (group A, 86.4% [19 of 22] vs. group B, 68% [17 of 25]; P = 0.138). The number of cases in BNI class I or II and the number of recurrences also did not differ significantly between the 2 groups (P = 0.532 and 0.786, respectively). The mean area was 8.64 ± 2.59 mm3 in nondeviated cases (n = 27) and 2.59 ± 1.68 mm3 in deviated (n = 10). Side effects were significantly more frequent in deviated cases (80% [8 of 10]) than in nondeviated cases (25.9% [7 of 27]; P = 0.003). CONCLUSIONS: NVC is not a predictive factor for pain control after GKRS for the treatment of idiopathic TN. Side effects may occur more frequently in patients with NVC at the target coordinate when a root entry zone is used, but the subjective symptoms are not always bothersome. | - |
dc.description.statementOfResponsibility | restriction | - |
dc.language | English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | WORLD NEUROSURGERY | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.subject.MESH | Aged | - |
dc.subject.MESH | Aged, 80 and over | - |
dc.subject.MESH | Female | - |
dc.subject.MESH | Follow-Up Studies | - |
dc.subject.MESH | Humans | - |
dc.subject.MESH | Male | - |
dc.subject.MESH | Microvascular Decompression Surgery/adverse effects | - |
dc.subject.MESH | Microvascular Decompression Surgery/methods* | - |
dc.subject.MESH | Middle Aged | - |
dc.subject.MESH | Nerve Compression Syndromes/surgery* | - |
dc.subject.MESH | Pain Measurement* | - |
dc.subject.MESH | Radiosurgery/adverse effects | - |
dc.subject.MESH | Radiosurgery/methods* | - |
dc.subject.MESH | Recurrence | - |
dc.subject.MESH | Retrospective Studies | - |
dc.subject.MESH | Treatment Outcome | - |
dc.subject.MESH | Trigeminal Neuralgia/surgery* | - |
dc.title | Gamma Knife Radiosurgery for Idiopathic Trigeminal Neuralgia: Does the Status of Offending Vessels Influence Pain Control or Side Effects? | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine | - |
dc.contributor.department | Dept. of Neurosurgery | - |
dc.contributor.googleauthor | Hyun Ho Jung | - |
dc.contributor.googleauthor | Chang Kyu Park | - |
dc.contributor.googleauthor | Na Young Jung | - |
dc.contributor.googleauthor | Minsoo Kim | - |
dc.contributor.googleauthor | Won Seok Chang | - |
dc.contributor.googleauthor | Jin Woo Chang | - |
dc.identifier.doi | 10.1016/j.wneu.2017.05.058 | - |
dc.contributor.localId | A05340 | - |
dc.contributor.localId | A03454 | - |
dc.contributor.localId | A03484 | - |
dc.contributor.localId | A03775 | - |
dc.relation.journalcode | J02806 | - |
dc.identifier.eissn | 1878-8769 | - |
dc.identifier.pmid | 28532912 | - |
dc.identifier.url | https://www.sciencedirect.com/science/article/pii/S187887501730757X | - |
dc.subject.keyword | Gamma knife radiosurgery | - |
dc.subject.keyword | Neurovascular compression | - |
dc.subject.keyword | Trigeminal neuralgia | - |
dc.contributor.alternativeName | Park, Chang Kyu | - |
dc.contributor.alternativeName | Chang, Won Seok | - |
dc.contributor.alternativeName | Chang, Jin Woo | - |
dc.contributor.alternativeName | Jung, Hyun Ho | - |
dc.contributor.affiliatedAuthor | Park, Chang Kyu | - |
dc.contributor.affiliatedAuthor | Chang, Won Seok | - |
dc.contributor.affiliatedAuthor | Chang, Jin Woo | - |
dc.contributor.affiliatedAuthor | Jung, Hyun Ho | - |
dc.citation.volume | 104 | - |
dc.citation.startPage | 687 | - |
dc.citation.endPage | 693 | - |
dc.identifier.bibliographicCitation | WORLD NEUROSURGERY, Vol.104 : 687-693, 2017 | - |
dc.identifier.rimsid | 43078 | - |
dc.type.rims | ART | - |
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