title: A successful case of multiple stereotactic radiosurgeries for ipsilateral recurrent trigeminal neuralgia.
abstract: Trigeminal neuralgia is a common pain syndrome primarily managed medically, although many patients require surgical or radiotherapeutic intervention. Stereotactic radiosurgery has become a preferred method of treatment given its high efficacy rates and relatively favorable toxicity profile. However, many patients have refractory pain even after repeat courses of stereotactic radiosurgery. Historically, 2 courses have been the limit in such patients. The authors present a case of multiply recurrent trigeminal neuralgia treated with a third course of radiosurgery in which the patient had successful pain control and no additional toxicity. Meticulous attention to the therapeutic technique allows the continued application of stereotactic radiosurgery in patients.
authors: Departments of 1Radiation Oncology and.
authors: Emily
authors: E
authors: Daugherty
authors: 2Department of Radiation Oncology, Integris Cancer Institute, Oklahoma City, Oklahoma.
authors: Shripal
authors: S
authors: Bhavsar
authors: Departments of 1Radiation Oncology and.
authors: Seung Shin
authors: SS
authors: Hahn
authors: Departments of 1Radiation Oncology and.
authors: Daniel
authors: D
authors: Bassano
authors: 3Neurosurgery, SUNY Upstate Medical University, Syracuse, New York; and.
authors: Walter
authors: W
authors: Hall
mesh_terms: D000328:Adult; D006801:Humans; D008297:Male; D016634:Radiosurgery / Q000379:methods*; D012008:Recurrence; D016896:Treatment Outcome; D014277:Trigeminal Neuralgia / Q000601:surgery*
keywords: BNI = Barrow Neurological Institute; GKRS = Gamma Knife radiosurgery; Gamma Knife; MVD = microvascular decompression; TN = trigeminal neuralgia; functional neurosurgery; pain; radiosurgery; repeat Gamma Knife; repeat stereotactic radiosurgery; trigeminal neuralgia