Multiple Gamma Knife Treatments for Trigeminal Neuralgia
Author Information
Author(s): Guy C. Jones, Ameer L. Elaimy, John J. Demakas, Hansi Jiang, Wayne T. Lamoreaux, Robert K. Fairbanks, Alexander R. Mackay, Barton S. Cooke, Christopher M. Lee
Primary Institution: Gamma Knife of Spokane
Hypothesis
Can gamma knife radiosurgery be effectively repeated for trigeminal neuralgia patients who do not respond to initial treatments?
Conclusion
The case demonstrates that repeat gamma knife radiosurgery can provide significant pain relief for patients with trigeminal neuralgia who have not responded to other treatments.
Supporting Evidence
- The patient had significant pain relief after the second and third GKRS procedures.
- The patient had previously failed medical and surgical treatments before opting for GKRS.
- This case is one of very few reported instances of a patient undergoing three GKRS procedures for TN.
Takeaway
This study shows that some people with severe facial pain can get better after having the same special treatment done three times.
Methodology
The patient underwent three separate gamma knife radiosurgery treatments targeting the trigeminal nerve root entry zone.
Potential Biases
Potential selection bias in treatment outcomes due to the unique nature of the case.
Limitations
The study is based on a single case, limiting generalizability.
Participant Demographics
A 72-year-old male patient with refractory trigeminal neuralgia.
Digital Object Identifier (DOI)
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