Article
Clinical Neurology
Sumil K. Nair, Michael E. Xie, Kathleen Ran, Anita Kalluri, Collin Kilgore, Kyra Halbert-Elliott, Judy Huang, Michael Lim, Chetan Bettegowda, Risheng Xu
Summary: This study retrospectively analyzed patients who underwent MVD surgery at a hospital and compared the pain outcomes between patients who underwent primary MVD surgery and those who had prior SRS surgery. The results suggest that prior SRS surgery does not seem to increase the risk of pain recurrence after MVD surgery.
OPERATIVE NEUROSURGERY
(2023)
Review
Clinical Neurology
Risheng Xu, Michael E. Xie, Christopher M. Jackson
Summary: Trigeminal neuralgia is a debilitating orofacial pain condition with a variety of treatment options, including anticonvulsant therapy, surgical interventions such as microvascular decompression, percutaneous methodologies, radiosurgery, and peripheral neurectomies. The heterogeneity of TN and the need for personalized treatment plans highlight the importance of ongoing research to develop novel therapies for this condition.
JOURNAL OF PAIN RESEARCH
(2021)
Article
Anesthesiology
Juan M. Altamirano, Miguel Jimenez-Olvera, Sergio Moreno-Jimenez, Guillermo A. Gutierrez-Aceves, Francisco Velasco-Campos, Jose L. Navarro-Olvera, Jose D. Carrillo-Ruiz
Summary: This study compared long-term pain control obtained by MVD, SRS, and RFR in patients with idiopathic TN. The results showed that MVD had better pain control than ablative procedures, but there were no significant differences in terms of quality of life, satisfaction with treatment, and safety profile when compared to RFR and SRS.
Article
Medicine, General & Internal
Chao-Chun Yang, Ming-Hsue Lee, Jen-Tsung Yang, Kuo-Tai Chen, Wei-Chao Huang, Ping-Jui Tsai, Chih-Hao Kao, Chien-Wei Liao, Martin Hsiu-Chu Lin
Summary: This study investigates the treatment of refractory trigeminal neuralgia and finds that percutaneous radiofrequency trigeminal rhizotomy is an effective method. The results show that this approach significantly improves facial pain in patients who have previously undergone other procedures or have not received any treatment.
Article
Clinical Neurology
Tobias Greve, Joerg-Christian Tonn, Jan-Hinnerk Mehrkens
Summary: Despite a higher prevalence of comorbidities in elderly patients, complication rates and neurological deficits after MVD were comparable to younger patients. Rates of immediate and long-term pain relief compared favorably to previous studies and were similar between elderly and younger patients.
JOURNAL OF NEUROLOGY
(2021)
Review
Neurosciences
Xiaochong Fan, Zhijian Fu, Ke Ma, Wei Tao, Bing Huang, Gang Guo, Dong Huang, Guangzhao Liu, Wenge Song, Tao Song, Lizu Xiao, Lingjie Xia, Yanqing Liu
Summary: Minimally invasive interventional therapy is a simple, low risk, highly repeatable, and low-cost treatment for trigeminal neuralgia. Radiofrequency thermocoagulation and percutaneous microcompression are the most commonly used and effective methods in this therapy.
FRONTIERS IN MOLECULAR NEUROSCIENCE
(2022)
Article
Clinical Neurology
Peter Adidharma, Mustaqim Prasetya, Aji Wahyu Wardhana, Takuro Inoue, Adi Sulistyanto, Fadhil, Selfy Oswari, Ryan Rhiveldi Keswani, Muhammad Kusdiansah, Yunus Kuntawi Aji, Randy Ramadhan, Abrar Arham
Summary: Trigeminal neuralgia (TN) is a neuropathic pain that can be treated with microvascular decompression (MVD) or percutaneous radiofrequency rhizotomy (PRR). A study was conducted to assess the cost-effectiveness of these interventions and found that MVD was more cost-effective in terms of pain-free survival, while PRR was more cost-effective when considering complications. Further analysis based on clinical classification showed that MVD was only cost-effective for type 1 TN patients, while PRR was economically dominant for type 2 TN patients. These findings highlight the importance of clinical classification and complications in determining the cost-effectiveness of MVD and PRR for refractory TN.
NEUROSURGICAL REVIEW
(2023)
Article
Clinical Neurology
Yuanzhi Xu, Tarek Y. El Ahmadieh, Maximiliano Alberto Nunez, Qi Zhang, Yaohua Liu, Juan Carlos Fernandez-Miranda, Aaron A. Cohen-Gadol, Ying Mao
Summary: This study provides a comprehensive analysis of the anatomical and radiological features of percutaneous trigeminal rhizotomy (PTR) and presents the technical nuances of the procedure. The findings highlight the importance of understanding the neurovascular relationships and using customized puncture corridors for a safe and effective surgery.
OPERATIVE NEUROSURGERY
(2023)
Article
Clinical Neurology
Imran Noorani, Amanda Lodge, Andrew Durnford, Girish Vajramani, Owen Sparrow
Summary: The study found that MVD provides better initial pain relief and longer durability of relief compared to percutaneous surgery. Balloon compression offers the most durable pain relief among percutaneous procedures. Post-operative numbness and age are predictors of good outcome for percutaneous surgery.
ACTA NEUROCHIRURGICA
(2021)
Article
Clinical Neurology
Raymond J. J. So, Anita L. L. Kalluri, Stanley Zhu, Joshua Materi, Sumil K. K. Nair, Michael Lim, Judy Huang, Chetan Bettegowda, Risheng Xu
Summary: The presence of multiple compressive vessels in trigeminal neuralgia (TN) patients is associated with higher pain scores preoperatively and an increased risk for pain recurrence after microvascular decompression (MVD), compared to patients with a single compressive vessel.
Article
Anesthesiology
Chih-Hao Kao, Ming-Hsueh Lee, Jen-Tsung Yang, Yuan-Hsiung Tsai, Martin Hsiu-Chu Lin
Summary: This study found that the presence or absence of neurovascular compression (NVC) is unlikely to affect the 1-year pain control rate in patients with trigeminal neuralgia (TN) treated with radiofrequency rhizotomy (RF).
Review
Clinical Neurology
Aroosa Zamarud, David J. Park, Timothy H. Ling, Tamra-Lee Mccleary, Kelly H. Yoo, Scott G. Soltys, Michael Lim, Steven D. Chang, Antonio Meola
Summary: This article presents a case study of trigeminal neuralgia (TN) secondary to stroke, which was successfully treated with stereotactic radiosurgery (SRS). The literature review also supports SRS as a safe and effective treatment option for TN associated with stroke.
WORLD NEUROSURGERY
(2023)
Article
Clinical Neurology
Wei-Chao Huang, Kuo-Tai Chen, Chih-Hao Kao, Jen-Tsung Yang, Ming-Hsueh Lee, Martin Hsiu-Chu Lin
Summary: In this study, the anatomical parameters between the actual and simulation trajectories were analyzed using inline measurements from fusion image, and the short- and intermediate-term outcomes were compared according to determinable factors. The study demonstrated that the needle location between cistern and ganglion also plays a significant role in better intermediate-term results.
ACTA NEUROCHIRURGICA
(2022)
Article
Clinical Neurology
Risheng Xu, Sumil K. Nair, Joshua Materi, Divyaansh Raj, Giho Park, Ravi Medikonda, Safwan Alomari, Timothy Kim, Yuanxuan Xia, Judy Huang, Michael Lim, Chetan Bettegowda
Summary: Microvascular decompression (MVD) is an effective surgical intervention for severe facial pain, and discharging carefully selected patients within 1 day post-operation can lead to cost savings without compromising patient outcomes.
WORLD NEUROSURGERY
(2022)
Article
Clinical Neurology
Risheng Xu, Sumil K. Nair, Joshua Materi, Divyaansh Raj, Giho Park, Ravi Medikonda, Safwan Alomari, Timothy Kim, Yuanxuan Xia, Judy Huang, Michael Lim, Chetan Bettegowda
Summary: This study examined the safety and cost-benefits of discharging patients with microvascular decompression (MVD) within 1 day of admission for severe facial pain. The results showed that discharging carefully selected patients within 1 day of admission was safe and resulted in reduced hospital admissions, complications, and total hospital costs.
WORLD NEUROSURGERY
(2022)