HAL will be down for maintenance from Friday, June 10 at 4pm through Monday, June 13 at 9am. More information
Skip to Main content Skip to Navigation
Journal articles

The Very Long-Term Outcome of Radiosurgery for Classical Trigeminal ă Neuralgia

Abstract : Background: Radiosurgery is one of the neurosurgical alternatives for ă intractable trigeminal neuralgia (TN). Objective: Although acceptable ă short-/mid-term outcomes have been reported, long-term results have not ă been well documented. Methods: We report the long-term results in 130 ă patients who underwent radiosurgery for classical TN and were ă subsequently monitored through at least 7 years (median = 9.9, range = ă 7-14.5) of follow-up. Results: The median age was 66.5 years. A total of ă 122 patients (93.8%) became pain free (median delay = 15 days) after ă the radiosurgery procedure (Barrow Neurological Institute, BNI class I ă IIIa). The probability of remaining pain free without medication at 3, ă 5, 7 and 10 years was 77.9, 73.8, 68 and 51.5%, respectively. Fifty-six ă patients (45.9%) who were initially pain free experienced recurrent ă pain (median delay = 73.1 months). However, at 10 years, of the initial ă 130 patients, 67.7% were free of any recurrence requiring new surgery ă (BNI class I IIIa). The new hypesthesia rate was 20.8% (median delay of ă onset = 12 months), and only 1 patient (0.8%) reported very bothersome ă hypesthesia. Conclusions: The long-term results were comparable to those ă from our general series (recently published), and the high probability ă of long-lasting pain relief and rarity of consequential complications of ă radiosurgery may suggest it as a first and/or second-line treatment for ă classical, drug-resistant TN. (C) 2016 S. Karger AG, Basel
Keywords : Quality of Life
Complete list of metadata

https://hal.archives-ouvertes.fr/hal-01482648
Contributor : Pascal Auquier Connect in order to contact the contributor
Submitted on : Friday, March 3, 2017 - 4:52:30 PM
Last modification on : Wednesday, November 3, 2021 - 9:07:33 AM

Identifiers

  • HAL Id : hal-01482648, version 1

Collections

Citation

Jean Régis, Constantin Tuleasca, Noémie Resseguier, Romain Carron, Anne Donnet, et al.. The Very Long-Term Outcome of Radiosurgery for Classical Trigeminal ă Neuralgia. Stereotactic and Functional Neurosurgery, Karger, 2016, 94 (1), pp.24-32. ⟨hal-01482648⟩

Share

Metrics

Record views

107