• Journal of neurosurgery · Jun 2015

    Case Reports

    A successful case of multiple stereotactic radiosurgeries for ipsilateral recurrent trigeminal neuralgia.

    • Emily Daugherty, Shripal Bhavsar, Seung Shin Hahn, Daniel Bassano, and Walter Hall.
    • Departments of 1Radiation Oncology and.
    • J. Neurosurg.. 2015 Jun 1;122(6):1324-9.

    AbstractTrigeminal neuralgia is a common pain syndrome primarily managed medically, although many patients require surgical or radiotherapeutic intervention. Stereotactic radiosurgery has become a preferred method of treatment given its high efficacy rates and relatively favorable toxicity profile. However, many patients have refractory pain even after repeat courses of stereotactic radiosurgery. Historically, 2 courses have been the limit in such patients. The authors present a case of multiply recurrent trigeminal neuralgia treated with a third course of radiosurgery in which the patient had successful pain control and no additional toxicity. Meticulous attention to the therapeutic technique allows the continued application of stereotactic radiosurgery in patients.

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