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

Author

Listed:
  • Jean Régis

    (Epilepsies, Lesions Cerebrales et Systemes Neuraux de la Cognition - Université de la Méditerranée - Aix-Marseille 2 - INSERM - Institut National de la Santé et de la Recherche Médicale, Service de neurochirurgie fontionnelle et stéréotaxique - APHM - Assistance Publique - Hôpitaux de Marseille - TIMONE - Hôpital de la Timone [CHU - APHM])

  • Constantin Tuleasca

    (SP Lab - Laboratoire de Traitement du signal [EPFL] / Signal Processing Laboratories - EPFL - Ecole Polytechnique Fédérale de Lausanne, Service de neurochirurgie fontionnelle et stéréotaxique - APHM - Assistance Publique - Hôpitaux de Marseille - TIMONE - Hôpital de la Timone [CHU - APHM], UNIL - Université de Lausanne = University of Lausanne)

  • Noémie Resseguier

    (SESSTIM - U912 INSERM - Aix Marseille Univ - IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale - IRD - Institut de Recherche pour le Développement - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale)

  • Romain Carron

    (Service de neurochirurgie fontionnelle et stéréotaxique - APHM - Assistance Publique - Hôpitaux de Marseille - TIMONE - Hôpital de la Timone [CHU - APHM])

  • Anne Donnet

    (Neurologie, maladies neuro-musculaires [Hôpital de la Timone - APHM] - AMU - Aix Marseille Université - APHM - Assistance Publique - Hôpitaux de Marseille - TIMONE - Hôpital de la Timone [CHU - APHM])

  • Shoji Yomo

    (Service de neurochirurgie fontionnelle et stéréotaxique - APHM - Assistance Publique - Hôpitaux de Marseille - TIMONE - Hôpital de la Timone [CHU - APHM])

  • Jean Gaudart

    (SESSTIM - U912 INSERM - Aix Marseille Univ - IRD - Sciences Economiques et Sociales de la Santé & Traitement de l'Information Médicale - IRD - Institut de Recherche pour le Développement - AMU - Aix Marseille Université - INSERM - Institut National de la Santé et de la Recherche Médicale, AMU - Aix Marseille Université)

  • Marc Levivier

    (UNIL - Université de Lausanne = University of Lausanne)

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

Suggested Citation

  • Jean Régis & Constantin Tuleasca & Noémie Resseguier & Romain Carron & Anne Donnet & Shoji Yomo & Jean Gaudart & Marc Levivier, 2016. "The Very Long-Term Outcome of Radiosurgery for Classical Trigeminal ă Neuralgia," Post-Print hal-01482648, HAL.
    • Handle: RePEc:hal:journl:hal-01482648
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    Quality of Life;

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