TY - JOUR
T1 - Treatment strategy for trigeminal neuralgia
T2 - A thirty years experience
AU - Broggi, Giovanni
AU - Ferroli, Paolo
AU - Franzini, Angelo
PY - 2008/5
Y1 - 2008/5
N2 - Trigeminal neuralgia is an invalidating disease when become drug-resistant. The only possible treatment is surgery with different modalities, percutaneous, open surgery or radiosurgery. The thirty years experience at the Fondazione Istituto Neurologico C. Besta, Milano, Italy suggests that these surgical strategies are successful in pain control in short and long term period in more than 90% of cases, with a low rate of side effects and high improvement of quality of life. The type of surgery should be tailored on the particular patient considering age, general physical condition, neuroradiological assessment in which MRI with dedicated sequences are mandatory, and also patient's attitude.
AB - Trigeminal neuralgia is an invalidating disease when become drug-resistant. The only possible treatment is surgery with different modalities, percutaneous, open surgery or radiosurgery. The thirty years experience at the Fondazione Istituto Neurologico C. Besta, Milano, Italy suggests that these surgical strategies are successful in pain control in short and long term period in more than 90% of cases, with a low rate of side effects and high improvement of quality of life. The type of surgery should be tailored on the particular patient considering age, general physical condition, neuroradiological assessment in which MRI with dedicated sequences are mandatory, and also patient's attitude.
KW - Balloon microcompression
KW - Microvascular decompression
KW - Radiofrequency thermorhyzothomy
KW - Radiosurgery
KW - Trigeminal neuralgia
UR - http://www.scopus.com/inward/record.url?scp=45249116806&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=45249116806&partnerID=8YFLogxK
U2 - 10.1007/s10072-008-0893-6
DO - 10.1007/s10072-008-0893-6
M3 - Article
C2 - 18545903
AN - SCOPUS:45249116806
VL - 29
JO - Neurological Sciences
JF - Neurological Sciences
SN - 1590-1874
IS - SUPPL. 1
ER -