Romanelli Pantaleo, Heit Gary, Chang Steven D, Martin Dave, Pham Christopher, Adler John
Department of Neurosurgery, Stanford University Medical Center, Stanford, CA, USA.
Stereotact Funct Neurosurg. 2003;81(1-4):105-9. doi: 10.1159/000075112.
We present preliminary results using Cyberknife radiosurgery as a noninvasive treatment for trigeminal neuralgia (TN).
Ten patients with medically refractory TN who were deemed unsuitable for conventional surgery underwent Cyberknife radiosurgery using CT cisternography for localization.
Pain relief was achieved in 7 patients, in 5 of them within 24-72 h after irradiation.
Cyberknife radiosurgery can achieve early-onset pain relief in a subset of TN patients. Improvements using this technique include the absence of a stereotactic ring, potentially improved targeting accuracy produced by CT cisternography and improved dose homogeneity.
我们展示了使用射波刀放射外科作为三叉神经痛（TN）的非侵入性治疗的初步结果。
10例药物治疗难治且被认为不适合传统手术的TN患者接受了使用CT脑池造影进行定位的射波刀放射外科治疗。
7例患者疼痛得到缓解，其中5例在照射后24 - 72小时内疼痛缓解。
射波刀放射外科可使一部分TN患者早期缓解疼痛。该技术的改进包括无需立体定向环、CT脑池造影可能提高的靶向准确性以及改善的剂量均匀性。
