原发性三叉神经痛微血管减压和伽玛刀治疗的临床疗效分析(2)
4結论
对于可以耐受手术的患者,MVD是首选,但需承担开颅代价;对于存在手术禁忌或年龄大的患者,GKS更易接受,但起效时间长。
参考文献
[1]Katusic S, et al. Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984. Ann Neurol 1990; 27(1):89-95.
[2]Brisman R. Gamma knife surgery with a dose of 75 to 76.8 Gray for trigeminal neuralgia. J Neurosurg, 2004; 100(5):848-854.
[3]Sindou M, et al. Microvascular. decompression for primary trigeminal neuralgia: long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression. J Neurosurg.2007 Dec;107(6):1144-53.
[4]Barker FG, et al. The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med. 1996 Apr 25; 334(17):1077-83.
[5]Tronnier VM, et al. Treatment of idiopathic trigeminal neuralgia: comparison of long-term outcome after radiofrequency rhizotomy and microvascular decompression. Neurosurgery. 2001 Jun; 48(6):1261-7.
[6]Martínez Moreno NE, et al. Long-Term Outcomes in the Treatment of Classical Trigeminal Neuralgia by Gamma Knife Radiosurgery: A Retrospective Study in Patients With Minimum 2-Year Follow-up. Neurosurgery. 2016 Dec; 79(6):879-888.
[7]Maesawa S, et al. Clinical outcomes after stereotactic radiosurgery for idiopathic trigeminal neuralgia. J Neurosurg.2001;94(1):14-20
[8]Régis J, et al. Prospective controlled trial of gamma knife surgery for essential trigeminal neuralgia. J Neurosurg. 2006 Jun; 104(6):913-24.
[9]Marshall K, et al. Predictive variables for the successful treatment of trigeminal neuralgia with gamma knife radiosurgery. Neurosurgery. 2012 Mar;70(3):566-72., http://www.100md.com(方泽斌)
对于可以耐受手术的患者,MVD是首选,但需承担开颅代价;对于存在手术禁忌或年龄大的患者,GKS更易接受,但起效时间长。
参考文献
[1]Katusic S, et al. Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984. Ann Neurol 1990; 27(1):89-95.
[2]Brisman R. Gamma knife surgery with a dose of 75 to 76.8 Gray for trigeminal neuralgia. J Neurosurg, 2004; 100(5):848-854.
[3]Sindou M, et al. Microvascular. decompression for primary trigeminal neuralgia: long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression. J Neurosurg.2007 Dec;107(6):1144-53.
[4]Barker FG, et al. The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med. 1996 Apr 25; 334(17):1077-83.
[5]Tronnier VM, et al. Treatment of idiopathic trigeminal neuralgia: comparison of long-term outcome after radiofrequency rhizotomy and microvascular decompression. Neurosurgery. 2001 Jun; 48(6):1261-7.
[6]Martínez Moreno NE, et al. Long-Term Outcomes in the Treatment of Classical Trigeminal Neuralgia by Gamma Knife Radiosurgery: A Retrospective Study in Patients With Minimum 2-Year Follow-up. Neurosurgery. 2016 Dec; 79(6):879-888.
[7]Maesawa S, et al. Clinical outcomes after stereotactic radiosurgery for idiopathic trigeminal neuralgia. J Neurosurg.2001;94(1):14-20
[8]Régis J, et al. Prospective controlled trial of gamma knife surgery for essential trigeminal neuralgia. J Neurosurg. 2006 Jun; 104(6):913-24.
[9]Marshall K, et al. Predictive variables for the successful treatment of trigeminal neuralgia with gamma knife radiosurgery. Neurosurgery. 2012 Mar;70(3):566-72., http://www.100md.com(方泽斌)