Image-Guided Robotic Radiosurgery for Trigeminal Neuralgia.

ABSTRACT: BACKGROUND:Frameless, non-isocentric irradiation of an extended segment of the trigeminal nerve introduces new concepts in stereotactic radiosurgery for medically resistant trigeminal neuralgia (TN). OBJECTIVE:To report the results of the largest single-center experience about image-guided robotic radiosurgery for TN. METHODS:A cohort of 138 patients treated with CyberKnife® (Accuray Incorporated, Sunnyvale, California) radiosurgery with a minimum follow-up of 36 mo were recruited. Pain relief, medications, sensory disturbances, rate and time of pain recurrence were prospectively analyzed. RESULTS:Median follow-up was 52.4 mo; median dose 75 Gy; median target length 5.7-mm; median target volume 40 mm³; median prescription dose 60 Gy (80% isodose line). Actuarial pain control rate (Barrow N

SUBMITTER: Romanelli P 

PROVIDER: S-EPMC6195178 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature