Feasibility of Multiple Repeat Gamma Knife Radiosurgeries for Trigeminal Neuralgia: A Case Report and Review of the Literature

Treatment options for trigeminal neuralgia (TN) must be customized for the individual patient, and physicians must be aware of the medical, surgical, and radiation treatment modalities to prescribe optimal treatment courses for specific patients. The following case illustrates the potential for gamm...

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Main Authors: 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
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2011/258910
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author 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
author_facet 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
author_sort Guy C. Jones
collection DOAJ
description Treatment options for trigeminal neuralgia (TN) must be customized for the individual patient, and physicians must be aware of the medical, surgical, and radiation treatment modalities to prescribe optimal treatment courses for specific patients. The following case illustrates the potential for gamma knife radiosurgery (GKRS) to be repeated multiple times for the purpose of achieving facial pain control in cases of TN that have been refractory to other medical and surgical options, as well as prior GKRS. The patient described failed to achieve pain control with initial GKRS, as well as medical and surgical treatments, but experienced significant pain relief for a period of time with a second GKRS procedure and later underwent a third procedure. Only a small subset of patients have reportedly undergone more than two GKRS for TN; thus, further research and long-term clinical followup will be valuable in determining its usefulness in specific clinical situations.
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issn 1687-9627
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publishDate 2011-01-01
publisher Wiley
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series Case Reports in Medicine
spelling doaj-art-50903cbd217245eba9ca79ba14a36e1c2025-02-03T06:11:07ZengWileyCase Reports in Medicine1687-96271687-96352011-01-01201110.1155/2011/258910258910Feasibility of Multiple Repeat Gamma Knife Radiosurgeries for Trigeminal Neuralgia: A Case Report and Review of the LiteratureGuy C. Jones0Ameer L. Elaimy1John J. Demakas2Hansi Jiang3Wayne T. Lamoreaux4Robert K. Fairbanks5Alexander R. Mackay6Barton S. Cooke7Christopher M. Lee8Department of Radiation Oncology, Gamma Knife of Spokane, 910 West 5th Avenue, Suite 102, Spokane, WA 99204, USADepartment of Radiation Oncology, Gamma Knife of Spokane, 910 West 5th Avenue, Suite 102, Spokane, WA 99204, USADepartment of Radiation Oncology, Gamma Knife of Spokane, 910 West 5th Avenue, Suite 102, Spokane, WA 99204, USADepartment of Radiation Oncology, Gamma Knife of Spokane, 910 West 5th Avenue, Suite 102, Spokane, WA 99204, USADepartment of Radiation Oncology, Gamma Knife of Spokane, 910 West 5th Avenue, Suite 102, Spokane, WA 99204, USADepartment of Radiation Oncology, Gamma Knife of Spokane, 910 West 5th Avenue, Suite 102, Spokane, WA 99204, USADepartment of Radiation Oncology, Gamma Knife of Spokane, 910 West 5th Avenue, Suite 102, Spokane, WA 99204, USADepartment of Radiation Oncology, Gamma Knife of Spokane, 910 West 5th Avenue, Suite 102, Spokane, WA 99204, USADepartment of Radiation Oncology, Gamma Knife of Spokane, 910 West 5th Avenue, Suite 102, Spokane, WA 99204, USATreatment options for trigeminal neuralgia (TN) must be customized for the individual patient, and physicians must be aware of the medical, surgical, and radiation treatment modalities to prescribe optimal treatment courses for specific patients. The following case illustrates the potential for gamma knife radiosurgery (GKRS) to be repeated multiple times for the purpose of achieving facial pain control in cases of TN that have been refractory to other medical and surgical options, as well as prior GKRS. The patient described failed to achieve pain control with initial GKRS, as well as medical and surgical treatments, but experienced significant pain relief for a period of time with a second GKRS procedure and later underwent a third procedure. Only a small subset of patients have reportedly undergone more than two GKRS for TN; thus, further research and long-term clinical followup will be valuable in determining its usefulness in specific clinical situations.http://dx.doi.org/10.1155/2011/258910
spellingShingle 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
Feasibility of Multiple Repeat Gamma Knife Radiosurgeries for Trigeminal Neuralgia: A Case Report and Review of the Literature
Case Reports in Medicine
title Feasibility of Multiple Repeat Gamma Knife Radiosurgeries for Trigeminal Neuralgia: A Case Report and Review of the Literature
title_full Feasibility of Multiple Repeat Gamma Knife Radiosurgeries for Trigeminal Neuralgia: A Case Report and Review of the Literature
title_fullStr Feasibility of Multiple Repeat Gamma Knife Radiosurgeries for Trigeminal Neuralgia: A Case Report and Review of the Literature
title_full_unstemmed Feasibility of Multiple Repeat Gamma Knife Radiosurgeries for Trigeminal Neuralgia: A Case Report and Review of the Literature
title_short Feasibility of Multiple Repeat Gamma Knife Radiosurgeries for Trigeminal Neuralgia: A Case Report and Review of the Literature
title_sort feasibility of multiple repeat gamma knife radiosurgeries for trigeminal neuralgia a case report and review of the literature
url http://dx.doi.org/10.1155/2011/258910
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