Publication:
Ct-guided percutaneous trigeminal tractotomy-nucleotomy for intractable craniofacial pain

dc.contributor.authorTürkkan, Alper
dc.contributor.buuauthorBekar, Ahmet
dc.contributor.buuauthorBEKAR, AHMET
dc.contributor.buuauthorEser Ocak, Pınar
dc.contributor.buuauthorTaşkapılıoğlu, M. Özgür
dc.contributor.buuauthorTAŞKAPILIOĞLU, MEVLÜT ÖZGÜR
dc.contributor.buuauthorOCAK, PINAR
dc.contributor.departmentTıp Fakültesi
dc.contributor.departmentNöroloji Ana Bilim Dalı
dc.contributor.orcid0000-0003-0132-9927
dc.contributor.orcid0000-0001-5472-9065
dc.contributor.researcheridABX-9081-2022
dc.contributor.researcheridABB-8161-2020
dc.contributor.researcheridAAI-2073-2021
dc.date.accessioned2024-07-03T08:18:59Z
dc.date.available2024-07-03T08:18:59Z
dc.date.issued2020-09-01
dc.description.abstractObject:In this report, we aimed to analyze the outcome results of our patients who underwent percutaneous trigeminal tractotomy (TR) and nucleotomy (NC) procedures, which are defined as destructive procedures targeting the descending trigeminal tractus and nucleus caudalis of the spinal trigeminal nucleus, respectively, for intractable craniofacial pain.Methods:The medical records of a total of 12 patients who underwent a total of 14 computed tomography (CT)-guided TR-NC procedures at our clinics between 2005 and 2017 were retrospectively reviewed.Results:A significant increase in patients' performance status (p= 0.015) as well as a significant decrease in the VAS score (p< 0.001) were achieved. Grade I pain relief (VAS = 0, no pain) was established in 66.7% of the patients, whereas grade II pain relief was observed in the remaining patients. Two of the patients suffered from recurrent pain after the initial procedure. Both patients underwent a second trigeminal TR-NC procedure, and grade I pain relief was re-established. The mean VAS score at 3-month follow-up was 1.4 +/- 1.1, whereas this score at 6-month follow-up was 2 +/- 1.3. The trigeminal TR-NC procedure resulted in a significant decrease in patients' VAS scores at 3- and 6-month follow-up visits compared with preoperative VAS scores (p< 0.001). Transient ataxia was noted in only one patient (8.3%) early after the procedure.Conclusions:The results presented in the current study support the efficacy of the percutaneous CT-guided trigeminal TR-NC procedure in the management of intractable facial pain in selected patients. The use of CT guidance allows direct visualization of the target area, thereby enhancing the safety and success of the procedure.
dc.identifier.doi10.1159/000509316
dc.identifier.endpage357
dc.identifier.issn1011-6125
dc.identifier.issue5
dc.identifier.startpage350
dc.identifier.urihttps://doi.org/10.1159/000509316
dc.identifier.urihttps://hdl.handle.net/11452/42795
dc.identifier.volume98
dc.identifier.wos000572547900010
dc.indexed.wosWOS.SCI
dc.language.isoen
dc.publisherKarger
dc.relation.journalStereotactic And Functional Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectComputed-tomography
dc.subjectCraniofacial pain
dc.subjectTrigeminal nerve
dc.subjectTrigeminal tractotomy-nucleotomy
dc.subjectScience & technology
dc.subjectLife sciences & biomedicine
dc.subjectNeurosciences
dc.subjectNeuroimaging
dc.subjectSurgery
dc.subjectNeurosciences & neurology
dc.subjectSurgery
dc.titleCt-guided percutaneous trigeminal tractotomy-nucleotomy for intractable craniofacial pain
dc.typeArticle
dspace.entity.typePublication
local.contributor.departmentTıp Fakültesi/Nöroloji Ana Bilim Dalı
relation.isAuthorOfPublicatione929e321-8731-462f-8655-65e237321fef
relation.isAuthorOfPublication5366e0c2-f020-4a2d-8d97-46928026680f
relation.isAuthorOfPublicationa7cd18ab-a35d-4819-8c30-8fe49c09161b
relation.isAuthorOfPublication.latestForDiscoverye929e321-8731-462f-8655-65e237321fef

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