단파를 이용한 삼차신경통 치료
Percutaneous radiofrequency trigeminal ganglionotomy
정상섭, 박태성, 김철수, 김상철, 정재우, 이헌재,
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정상섭 ( )
연세대학교 의과대학 신경외과학교실
박태성 ( )
연세대학교 의과대학 신경외과학교실
김철수 ( )
연세대학교 의과대학 신경외과학교실
김상철 ( )
연세대학교 의과대학 신경외과학교실
정재우 ( )
연세대학교 의과대학 신경외과학교실
이헌재 ( )
연세대학교 의과대학 신경외과학교실
KMID : 0359819750040020323
Abstract
Percutaneous radiofrequency coagulation of the gasserian ganglion or its posterior root has been used for the patient with trigeminal neuralgia.
Controlled lesion can be made selectively in any ´division of the trigeminal nerve. This procedure has been effective in abolishing pain usually with preservation of touch sensation in the face and added advantage of short hospitalization.
In 11 of 12 patients with trigeminal neuralgia, this procedure relieved pain. In one, patient it was inevitable to ´have intracranial approach due to diffuse. fibrosis involving gasserian,ganglion and its ,root with previous multiple alcohol injections.One patieni- who. suffered from intractable pain due to tongue cancer became pain free. Two patients have developed weakness of the masseter muscle, however it was not trouble some to the patients.
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