Gamma Knife Surgery in Trigeminal Neuralgia.
Gamma knife surgery (GKS) represents a safe, effective, and relatively durable noninvasive treatment option for patients with trigeminal neuralgia (TN) and recurrent TN. By one year's time, 75% to 90% of patients will have obtained pain relief, defined as Barrow Neurological Institute grades I to IIIB. Similar rates have been demonstrated for patients undergoing a second GKS for recurrent TN. Predictors of durability of GKS in TN include type I TN, post-GKS Barrow Neurological Institute score, and the presence of post-Gamma Knife facial numbness.
Department of Neurosurgery, NYU Langone Medical Center, 530 First Avenue, Suite 8R, New York, NY 10016, USA.
Amparo
A
Wolf
Department of Neurosurgery, Center for Advanced Radiosurgery, NYU Langone Medical Center, 530 First Avenue, Suite 8R, New York, NY 10016, USA. Electronic address: douglas.kondziolka@nyumc.org.
Douglas
D
Kondziolka
D006801:Humans; D017060:Patient Satisfaction; D011788:Quality of Life; D016634:Radiosurgery / Q000295:instrumentation*; D016896:Treatment Outcome; D014277:Trigeminal Neuralgia / Q000601:surgery*
Facial pain; Gamma knife surgery; Stereotactic radiosurgery; Trigeminal neuralgia