کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
9190148 1185854 2005 9 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Névralgie du trijumeau et neurochirurgie
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
پیش نمایش صفحه اول مقاله
Névralgie du trijumeau et neurochirurgie
چکیده انگلیسی
Control of primary trigeminal neuralgias, when becoming pharmaco-resistant, is almost always possible by modern neurosurgery. Two types of methods are available: 1°) percutaneous techniques interrupting the pain pathways, such as the retrogasserian thermorhizotomy at the triangular plexus, the balloon compression of the gasserian ganglion in Meckel's cave, the glycerol injection within the trigeminal cistern, and the stereotactic radiosurgery of the trigeminus using the Gamma-Knife which may be an alternative of those; 2°) the microvascular decompression of the trigeminal root at the cerebello-pontine angle. This technique consists of dissecting free the root from the cross-compressing offending vessel(s) and needs a direct approach and general anaesthesia; it must be reserved to patients under 70-75 years of age, with good general conditions. For elderly patients and/or patients with precarious general conditions, a percutaneous technique or radiosurgery is preferable, which duration of efficacy is proportional to degree of post-operative residual hypoesthesia.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: EMC - Neurologie - Volume 2, Issue 1, February 2005, Pages 17-25
نویسندگان
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