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Abstract:

Background: We describe our method and mapping technique of the trigeminal nerve using a quadripolar electrode to minimize morbidity of percutaneous thermocoagulation as treatment of trigeminal neuralgia. Method: Of 381 patients selected for postgasserian thermocoagulation, 178 consecutive procedures were carried out using, in most cases, our painless and ambulatory method and technique. All patients were preoperatively subjected to 3-dimensional constructive interference in steady-state magnetic resonance and magnetic resonance angiography. Transgasserian introduction of our quadripolar multiarray electrode under constant fluoroscopic monitoring is used with systematic recording of radiologic angles at, in front of, and behind the clivus profile, always below the selar floor. The individual's somatotopic map based on the verbal responses of 34 facial subsegments in lieu of the usual 3 is carefully established. Lesions are aimed at the trigger of pain and restricted to fibers with the lowest thresholds. Maximal lesions are one third the size used in conventional thermocoagulation. Lesions attempt to avoid damage to the first division, uninvolved fibers, and the motor division. Results: Pre- and postoperatory thresholds demonstrate that trigger-aimed small lesions do not extend to unwanted subsegments. The described technique can minimize unnecessary complications from percutaneous thermocoagulation. © 2009 Elsevier Inc. All rights reserved.

Registro:

Documento: Artículo
Título:A multiarray electrode mapping method for percutaneous thermocoagulation as treatment of trigeminal neuralgia. Technical note on a series of 178 consecutive procedures
Autor:Karol, E.A.; Karol, M.N.
Filiación:Department of Neurosurgery, Buenos Aires University, Billinghurst 1742 PBA, CP 1428 Buenos Aires, Argentina
Palabras clave:Functional neurosurgery; Pain; Thermocoagulation; Thermorhizotomy; Trigeminal neuralgia; article; brain mapping; controlled study; electrode; fluoroscopy; human; magnetic resonance angiography; major clinical study; morbidity; rhizotomy; thermocoagulation; trigeminal nerve; trigeminus neuralgia; Electrocoagulation; Electrodes; Fluoroscopy; Humans; Magnetic Resonance Angiography; Magnetic Resonance Imaging; Nerve Fibers; Neurologic Examination; Neurosurgical Procedures; Posture; Rhizotomy; Trigeminal Neuralgia
Año:2009
Volumen:71
Número:1
Página de inicio:11
Página de fin:17
DOI: http://dx.doi.org/10.1016/j.surneu.2007.09.021
Título revista:Surgical Neurology
Título revista abreviado:Surg. Neurol.
ISSN:00903019
CODEN:SGNRA
Registro:https://bibliotecadigital.exactas.uba.ar/collection/paper/document/paper_00903019_v71_n1_p11_Karol

Referencias:

  • Kanpolat, Y., Savas, A., Bekar, A., Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1600 patients (2001) Neurosurgery, 48, pp. 524-532
  • Karol, E.A., (1989) Selective transoval percutaneous thermocoagulation in treatment of facial pain (in Spanish), pp. 1-76. , Edimed, Buenos Aires
  • Karol, E.A., The micrometric multiarray technique for percutaneous thermocoagulation of trigeminal neuralgia. Preliminary report (1999) Neurol Res, 21, pp. 433-438
  • Karol, E.A., Agner, C., Technological advances in the surgical treatment of trigeminal neuralgia (1999) Crit Rev Neurosurgery, 19, pp. 70-78
  • Karol, E.A., Karol, B., Larramendy, M., Reducing unnecessary morbidity from percutaneous thermocoagulation in the treatment of trigeminal neuralgia: Part B. A computerized protocol for quantitative analysis of data for radiofrequency thermocoagulation with the quadripolar electrode method and technique (2005) Neurol Res, 27, pp. 571-579
  • Karol, E.A., Perez, A., Cueto, G., Reducing unnecessary morbidity from percutaneous thermocoagulation in the treatment of trigeminal neuralgia: Part C. A starting point for a somatotopic map of the human gasserian ganglion (2005) Neurol Res, 27, pp. 835-842
  • Karol, E.A., Sanz, O.P., Gonzalez La Riva, F., A micrometric multiple electrode array for the exploration of gasserian and retrogasserian trigeminal fibers. Preliminary report. Technical note (1993) Neurosurgery, 33, pp. 154-158
  • Lopez, B.C., Hamlyn, P.J., Zakrzewska, J.M., Systematic review of ablative neurosurgical techniques for the treatment of trigeminal neuralgia (2004) Neurosurgery, 54, pp. 973-983
  • Nugent, G.R., Radiofrequency treatment of trigeminal neuralgia using a cordotomy electrode. A method (1997) Neurosurgical Clinics of North America, 8, pp. 41-52. , Neurosurgical perspectives on trigeminal neuralgia. Brown J.A., Mayberg M.R., and Winn H.R. (Eds), WB Saunders, Philadelphia
  • Nugent, G.R., Percutaneous techniques for trigeminal neuralgia (2000) Operative neurosurgery. Chapter 121, pp. 1615-1633. , Kaye A.H., and McL Black P. (Eds), Churchill Livingstone, Philadelphia
  • Sindou, M., Fobe, J.L., Berthier, E., Facial motor responses evoked by direct electrical stimulation of the trigeminal root. Localizing value for radiofrequency thermorhizotomy (1994) Acta Neurochir (Wien), 128, pp. 57-67
  • Sweet, W.H., The pathophysiology of trigeminal neuralgia (1998) Textbook of stereotactic and functional neurosurgery, pp. 1667-1682. , Gildemberg P.L., and Tasker R.R. (Eds), McGraw-Hill, New York
  • Sweet, W.H., Poletti, C.E., Complications of percutaneous rhizotomy and microvascular decompression operations for facial pain (1988) Operative neurosurgical techniques, pp. 1139-1143. , Schmidek H.H., and Sweet W.H. (Eds), Grune & Statton, New York
  • Sweet, W.H., Wepsic, J.G., Controlled thermocoagulation of trigeminal ganglion and rootlets for differential destruction of pain fibers: Part 1. Trigeminal neuralgia (1974) J Neurosurg, 40, pp. 143-158
  • Taha, J.M., Tew, J.M., Treatment of trigeminal neuralgia by percutaneous radiofrequency rhizotomy (1997) Neurosurg Clin North Am, 1, pp. 31-39
  • Taha, J.M., Tew, J.M., Comparison of surgical treatments for trigeminal neuralgia. Reevaluation of radiofrequency rhizotomy (1996) Neurosurgery, 38, pp. 865-871
  • Tekkok, I.H., Brown, J.A., The neurosurgical management of trigeminal neuralgia (1996) Neurosurgery, 6, pp. 98-107
  • Yoshino, N., Akimoto, H., Yamada, I., Trigeminal neuralgia evaluation of neuralgic manifestation and site of neurovascular compression with 3D CISS MR imaging and MR angiography (2003) Radiology, 228, pp. 539-545
  • Zakrzewska, J.M., Jassim, S., Bulman, J.S., A prospective, longitudinal study on patients with trigeminal neuralgia who underwent radiofrequency thermocoagulation of the gasserian ganglion (1999) Pain, 79, pp. 51-58
  • Zakrzewska, J.M., Lopez, B.C., Quality of reporting in evaluations of surgical treatment of trigeminal neuralgia: recommendations for future reports (2003) Neurosurgery, 53, pp. 110-122

Citas:

---------- APA ----------
Karol, E.A. & Karol, M.N. (2009) . A multiarray electrode mapping method for percutaneous thermocoagulation as treatment of trigeminal neuralgia. Technical note on a series of 178 consecutive procedures. Surgical Neurology, 71(1), 11-17.
http://dx.doi.org/10.1016/j.surneu.2007.09.021
---------- CHICAGO ----------
Karol, E.A., Karol, M.N. "A multiarray electrode mapping method for percutaneous thermocoagulation as treatment of trigeminal neuralgia. Technical note on a series of 178 consecutive procedures" . Surgical Neurology 71, no. 1 (2009) : 11-17.
http://dx.doi.org/10.1016/j.surneu.2007.09.021
---------- MLA ----------
Karol, E.A., Karol, M.N. "A multiarray electrode mapping method for percutaneous thermocoagulation as treatment of trigeminal neuralgia. Technical note on a series of 178 consecutive procedures" . Surgical Neurology, vol. 71, no. 1, 2009, pp. 11-17.
http://dx.doi.org/10.1016/j.surneu.2007.09.021
---------- VANCOUVER ----------
Karol, E.A., Karol, M.N. A multiarray electrode mapping method for percutaneous thermocoagulation as treatment of trigeminal neuralgia. Technical note on a series of 178 consecutive procedures. Surg. Neurol. 2009;71(1):11-17.
http://dx.doi.org/10.1016/j.surneu.2007.09.021