Vol. 20 No. 3 (2016)
NEUROSURGERY

Some experience of trigeminal neuralgia treatment by glycerol rhizolysis

PDF (Русский)
  • A Semenov,
  • J Rzaev,
  • E Pyataikina,
  • G Moisak,
  • Z Saakyan
A Semenov
Irkutsk State Medical Academy of Postgraduate Education, Ministry of Health Care of Russian Federation, 664079 Irkutsk, Russian Federation; Irkutsk City Hospital No. 3, 664007 Irkutsk, Russian Federation
Bio
J Rzaev
Novosibirsk Center of Neurosurgery, Ministry of Health Care of Russian Federation, 630087 Novosibirsk, Russian Federation
Bio
E Pyataikina
Irkutsk State Medical Academy of Postgraduate Education, Ministry of Health Care of Russian Federation, 664079 Irkutsk, Russian Federation
Bio
G Moisak
Novosibirsk Center of Neurosurgery, Ministry of Health Care of Russian Federation, 630087 Novosibirsk, Russian Federation; Novosibirsk State University, 630090 Novosibirsk, Russian Federation
Bio
Z Saakyan
Yakutsk Emergency Center of Republic Hospital No 2, 677005 Yakutsk, Russian Federation
Bio
DOI: https://doi.org/10.21688/1681-3472-2016-3-98-107

Published 2016-11-10

Keywords

  • trigeminal neuralgia,
  • glycerol rhizolysis,
  • Barrow Neurological Institute score for trigeminal neuralgia

How to Cite

Semenov, A., Rzaev, J., Pyataikina, E., Moisak, G., & Saakyan, Z. (2016). Some experience of trigeminal neuralgia treatment by glycerol rhizolysis. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 20(3), 98–107. https://doi.org/10.21688/1681-3472-2016-3-98-107

Copyright (c) 2016 Semenov AV., Rzaev J.A., Pyataikina E.I., Moisak G.I., Saakyan Z.S.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Aim. The study was to evaluate the advantages and disadvantages of trigeminal neuralgia treatment by Hakanson S. glycerol rhizolysis method.
Methods. The results of glycerol rhizolysis treatment were retrospectively evaluated in 96 patients with trigeminal neuralgia, who had been operated at Neurosurgical Department of Irkutsk City Hospital over a period from 2009 to 2016. To study the prospective follow-up, 53 patients operated during 2009 – 2014 were surveyed over the phone. The comparison of our long-term results and the results of other authors from literature sources was then performed.
Results. The median of follow-up period was 43 months. The pain recurrence (III-V rate of Barrow Neurological Institute score for trigeminal neuralgia) was observed in 30.2 % of patients, with the mean rate of the visual analogue scale amounting to 1.96. Complications included aseptic meningitis in 3.1 % cases, intracerebral hematoma – 1.04 %, hyperesthesia in appropriate trigeminal region – 3.8%, labial herpes – 40.7 %, temporary anesthesia in appropriate trigeminal region – 30.2%, temporary decrease of corneal reflex sensitivity – 41.5 %. There was no postoperative mortality.
Conclusion. Glycerol rhizolysis is an effective method of trigeminal neuralgia treatment and its results are comparable with those of other surgical methods. Strict adherence to all surgical steps and contrast cistenography is the key to success of intervention. The method is minimally invasive, applicable for anesthesia and particularly promising for patients over 70 years old.

Received 25 May 2016. Accepted 14 September 2016.

Funding: The study had no sponsorship.
Conflict of interest: The authors declare no conflict of interest.

PDF (Русский)

References

  1. Grechko VE, Puzin MN. The etiological factors of odontogenic lesions of the trigeminal nerve system. Stomatologija. 1986;(2):34-6. (in Russ.)
  2. Ammori MB, King AT, Siripurapu R, Herwadkar AV, Rutherford SA. Factors Influencing Decision-making and Outcome in the Surgical Management of Trigeminal Neuralgia. J Neurol Surg B Skull Base. 2013;74(2):75-81. DOI: 10.1055/s-0033-1333617
  3. Apfelbaum RI. Trigeminal and Glossopharyngeal Neuralgia and Hemifacial Spasm. In: Robert G. Grossman, Christopher M. Loftus., eds. Principles of Neurosurgery. 2nd ed. Philadelphia, New York: Lippincott-Raven Publishers; 1999. pp. 407-19.
  4. Kanpolat Y, Savas A, Bekar A, Berk C. Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience in 1600 patients. Neurosurgery. 2001;48(3):524-34.
  5. Chen G, Wang X, Wang L, Zheng J. Arterial compression of nerve is the primary cause of trigeminal neuralgia. Neurol Sci. 2014;35(1):61-6. DOI: 10.1007/s10072-013-1518-2
  6. Jannetta PJ. Neurovascular compression in cranial nerve and systemic disease. Ann Surg. 1980;192(4):518-25.
  7. Ramesh VG, Premkumar G. An anatomical study of the neurovascular relationships at the trigeminal root entry zone. J Clin Neurosci. 2009;16(7):934-6. DOI: 10.1016/j.jocn.2008.09.011
  8. Lonser R, Apfelbaum R. Neurovascular decompression in cranial nerves V, VII, IX, and X. In: Alfredo Quiñones-Hinojosa. Schmidek & Sweet Operative neurosurgical techniques: indications, methods, and results, 6th ed. China: ESEVIER SAUNDERS; 2012. Vol. 2. 1419 p.
  9. Headache Classification Committee of the International Headache Society (IHS). The international classification of headache disorders, 3rd edition (beta version). Cephalalgia. 2013;33(9):629-808. DOI: 10.1177/0333102413485658
  10. Ecker A, Perl T. Precise alcoholic Gasserian injection for tic douloureux. J Neurol Neurosurg Psychiat. 1965;28(1):65-70.
  11. Troyan VV, Glebov MA. Comparative results of surgical techniques in the treatment of trigeminal neuralgia. Neurohirurgia. 2007;(1):25-8. (in Russ.)
  12. Eller JL, Raslan AM, Burchiel KJ. Trigeminal neuralgia: definition and classification. Neurosurg Focus. 2005;18(5):E3.
  13. Hakanson S. Trigeminal neuralgia treated by the injection of glycerol into the trigeminal cistern. Neurosurgery. 1981;9(6):638-46.
  14. Linderoth B, Lind G. Retrogasserion Glycerol Rhizolysis in Trigeminal Neuralgia. In: Alfredo Quiñones-Hinojosa. Schmidek & Sweet Operative neurosurgical techniques: indications, methods, and results, 6th ed. China: ESEVIER SAUNDERS; 2012. Vol. 2. 1393 p.
  15. Cruccu G, Gronseth G, Alksne J, Argoff C, Brainin M, Burchiel K, Nurmikko T, Zakrzewska JM; American Academy of Neurology Society; European Federation of Neurological Society. AAN-EFNS guidelines on trigeminal neuralgia management. Eur J Neurol. 2008; 15(10):1013-1028. DOI: 10.1111/j.1468-1331.2008.02185.x
  16. Karam SD, Tai A, Wooster M, Rashid A, Chen R, Baig N, Jay A, Harter KW, Randolph-Jackson P, Omogbehin A, Aulisi EF, Jacobson J. Trigeminal neuralgia treatment outcomes following Gamma Knife radiosurgery with a minimum 3-year follow-up. J Radiat Oncol. 2014;3(2):125-30. DOI: 10.1007/s13566-013-0134-3
  17. Tew JM, Morgan JC, Grande AW. Percutaneous Stereotactic Rhizotomy in The Treatment of Intractable Facial Pain. In: Alfredo Quiñones-Hinojosa. Schmidek & Sweet Operative neurosurgical techniques: indications, methods, and results, 6th ed. China: ESEVIER SAUNDERS; 2012. Vol. 2 1409 p.
  18. Ismagilova ST. Laser surgery for trigeminal neuralgia. Neurosurgery. 2000;4:42-5 (in Russ.)
  19. Kondziolka D, Lunsford LD. Percutaneous retrogasserian glycerol rhizotomy for trigeminal neuralgia: technique and expectations. Neurosurg Focus. 2005;18(5):E7.
  20. Jho HD, Lunsford LD. Percutaneous retrogasserian glycerol rhizotomy. Current technique and results. Neurosurg Clin N Am. 1997;8(1):63-74.
  21. Kouzounias K, Lind G, Schechtmann G, Winter J, Linderoth B. Comparison of percutaneous balloon compression and glycerol rhizotomy for the treatment of trigeminal neuralgia. J Neurosurg. 2010;113(3):486-92. DOI: 10.3171/2010.1.JNS091106
  22. Henson CF, Goldman HW, Rosenwasser RH, Downes MB, Bednarz G, Pequignot EC, Werner-Wasik M, Curran WJ, Andrews DW. Glycerol rhizotomy versus gamma knife radiosurgery for the treatment of trigeminal neuralgia: an analysis of patients treated at one institution. Int J Radiat Oncol Biol Phys. 2005;63(1):82-90. DOI: 10.1016/j.ijrobp.2005.01.033