Base de dados : MEDLINE
Pesquisa : C07.465.299.625.500.700 [Categoria DeCS]
Referências encontradas : 5397 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 540 ir para página                         

  1 / 5397 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29400038
[Au] Autor:Podeur P; Okhremchuk I; Morvan JB; Vatin L; Rivière D; de Faria A; Joubert C; Dagain A
[Ti] Título:[Multiple intracranial epidermoid cysts: Case report].
[So] Source:Rev Laryngol Otol Rhinol (Bord);136(4):159-62, 2015.
[Is] ISSN:0035-1334
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:Epidermoid cyst is a benign and rare tumor, that evolves slowly. We describe the case of a 55 years-old woman, who came to our consultation for atypical trigeminal neuralgia of left V1 and V2 nerves. Brain MRI found two tumors: T1W hypointense with no appreciable enhancement after gadolinium injection and T2W and diffusion hyperintense. This last feature was in favour of an epidermoid cyst, but the multiplicity of cerebral lesions was definitely not in favor of such a diagnos­tic. They were located behind the right eye and in the left Meckel's cave (trigeminal cave). The surgical strategy consis­ted in removal the retro orbital tumor witch was the most acces­si­ble of both the diagnostic of epidermoid cyst was retaned thanks to the anatomopathology report. As these lesions had the exact same characteristics, we concluded that they were simi­lar. The second epidermoid cyst was not removed because of surgical risk, its benign nature and low evolutionary potential.
[Mh] Termos MeSH primário: Encefalopatias/diagnóstico por imagem
Fossa Craniana Posterior/diagnóstico por imagem
Cisto Epidérmico/diagnóstico por imagem
Doenças Orbitárias/diagnóstico por imagem
[Mh] Termos MeSH secundário: Encefalopatias/patologia
Fossa Craniana Posterior/patologia
Cisto Epidérmico/patologia
Cisto Epidérmico/cirurgia
Feminino
Seres Humanos
Imagem por Ressonância Magnética
Meia-Idade
Doenças Orbitárias/patologia
Doenças Orbitárias/cirurgia
Neuralgia do Trigêmeo/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180206
[St] Status:MEDLINE


  2 / 5397 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28468201
[Au] Autor:Zhao H; Tang Y; Zhang X; Li S
[Ad] Endereço:Department of Neurosurgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
[Ti] Título:The Study of Calcium, Phosphonium, Magnesium, and Ferrum Concentration in Serum of Patients With Primary Trigeminal Neuralgia.
[So] Source:J Craniofac Surg;28(3):e235-e238, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To measure the concentration of 4 essential elements (Ca, P, Mg, Fe) in serum of patients with primary trigeminal neuralgia. And evaluate the role of the 4 elements in serum on the pathogenesis of trigeminal neuralgia (TN), and the relevance of etiology. METHODS: From June 2013 to June 2014, a number of 80 patients with primary trigeminal neuralgia were collected. We present a retrospective review of the concentration of 4 essential elements with those of control group of 80 patients without TN. The concentrations of 4 elements were measured with Olympus AU 400 automatic biochemistry analyzer. RESULTS: In primary TN patients, the concentration of Ca, P, Mg in serum is lower than the control group obviously (P <0.05), but the concentration of Fe in serum is higher than the control group obviously (P <0.05). Along with level of the VOS improved, the concentration of Ca, P, and Mg in serum becomes lower and lower. However, along with level of the VOS improved, the concentration of Fe in serum becomes higher and higher. CONCLUSION: Patients with primary TN, the change of 4 elements concentration in serum is connected with biochemical material change. The change of the microelement may play an important role in the development of Trigeminal neuralgia, possibly demyelinating lesions.
[Mh] Termos MeSH primário: Cálcio/sangue
Magnésio/sangue
Fósforo/sangue
Neuralgia do Trigêmeo/sangue
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seres Humanos
Masculino
Meia-Idade
Estudos Retrospectivos
Neuralgia do Trigêmeo/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
27YLU75U4W (Phosphorus); I38ZP9992A (Magnesium); SY7Q814VUP (Calcium)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003443


  3 / 5397 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28468211
[Au] Autor:Liu P; Liao C; Zhong W; Yang M; Li S; Zhang W
[Ad] Endereço:Department of Neurosurgery, XinHua Hospital, affiliated to Shanghai JiaoTong University School of Medicine, Shanghai, China.
[Ti] Título:Symptomatic Trigeminal Neuralgia Caused by Cerebellopontine Angle Tumors.
[So] Source:J Craniofac Surg;28(3):e256-e258, 2017 May.
[Is] ISSN:1536-3732
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To investigate the characteristics of symptomatic trigeminal neuralgia (TN) caused by tumors and the relationship between anatomicosurgical findings and tumor type, the authors undertook a retrospective review of 35 patients with symptomatic TN between 2006 and 2015. The tumors included 16 meningiomas, 14 epidermoids, 4 vestibular schwannomas, and 1 hemangioblastoma. The studies show that patients with tumor-induced TN were significantly younger than those idiopathic TN (P <0.05). Meningioma-induced TN tended to have responsible vessels, while epidermoid tumor seemed to cause TN by wrapping or compressing the nerve. Additional vascular compression was observed in 15 (42.9%) of these 35 patients. All patients except one showed immediate pain relief following total or subtotal tumor removal with microvascular decompression (if required). Two patients with epidermoid-induced TN experienced symptom relapses caused by tumor regrowth, and one with meningioma-induced TN experienced pain recurrence caused by adhesive arachnoid. The key for operative success is to examine the entire nerve root for possible vascular compression after total or subtotal tumor resection.
[Mh] Termos MeSH primário: Neuroma Acústico/complicações
Neuralgia do Trigêmeo/etiologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Neuroma Acústico/diagnóstico
Neuroma Acústico/cirurgia
Estudos Retrospectivos
Fatores de Risco
Resultado do Tratamento
Neuralgia do Trigêmeo/diagnóstico
Neuralgia do Trigêmeo/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180202
[Lr] Data última revisão:
180202
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE
[do] DOI:10.1097/SCS.0000000000003481


  4 / 5397 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28975309
[Au] Autor:Gascho J
[Ad] Endereço:Division of Cardiology, Penn State University College of Medicine, Hershey, Pennsylvania.
[Ti] Título:The Lower Seven-Eighths.
[So] Source:JAMA;318(11):1005-1006, 2017 Sep 19.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Dor/psicologia
Relações Médico-Paciente
Nervo Trigêmeo/cirurgia
Neuralgia do Trigêmeo/psicologia
[Mh] Termos MeSH secundário: Tomada de Decisões
Seres Humanos
Cirurgia de Descompressão Microvascular
Neuralgia do Trigêmeo/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE; PERSONAL NARRATIVES
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171005
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.7751


  5 / 5397 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28953684
[Au] Autor:Ying X; Wang H; Deng S; Chen Y; Zhang J; Yu W
[Ad] Endereço:aDepartment of Neurosurgery, Hangzhou First People's Hospital, Zhejiang Chinese Medical University bDepartment of Neurosurgery, Hangzhou First People's Hospital, Nanjing Medical University cDepartment of Anesthesia and Pain Medicine, Tonglu First People's Hospital, Hangzhou, Zhejiang, P.R. China.
[Ti] Título:Long-term outcome of percutaneous balloon compression for trigeminal neuralgia patients elder than 80 years: A STROBE-compliant article.
[So] Source:Medicine (Baltimore);96(39):e8199, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article evaluates the long-term outcome of percutaneous balloon compression (PBC) for trigeminal neuralgia (TN) patients elder than 80 years. A total of 138 elderly patients aged above 80 years with primary TN, who were admitted to Neurosurgery Department, Hangzhou First People's Hospital from January 2007 to December 2011 for PBC treatment, were retrospectively analyzed in this study. The postoperative cure rate of immediate pain was 98.6% (Barrow Neurological Institute [BNI] classes I, II); according to the follow-up, the pain cure rates at 1, 2, 3, 4, and 5 years after surgery were 93.5%, 90.4%, 84.7%, 80.4%, and 72.9%, respectively. In our group, postoperative diplopia was reported in 1 case, masticatory muscle weakness in 3 cases, and herpes labialis in 19 cases. A total of 100% of pain-cured patients exhibited facial numbness and facial hypoesthesia. No serious complications occurred in this group of patients. PBC is an effective and safe procedure for TN treatment and can be employed as the preferred regimen for elderly TN patients aged above 80 years in poorer physical condition.
[Mh] Termos MeSH primário: Diplopia
Herpes Labial
Debilidade Muscular
Procedimentos Neurocirúrgicos
Complicações Pós-Operatórias
Neuralgia do Trigêmeo
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
China
Diplopia/diagnóstico
Diplopia/etiologia
Feminino
Herpes Labial/diagnóstico
Herpes Labial/etiologia
Seres Humanos
Masculino
Debilidade Muscular/diagnóstico
Debilidade Muscular/etiologia
Exame Neurológico/métodos
Procedimentos Neurocirúrgicos/efeitos adversos
Procedimentos Neurocirúrgicos/métodos
Avaliação de Processos e Resultados (Cuidados de Saúde)
Medição da Dor/métodos
Complicações Pós-Operatórias/diagnóstico
Complicações Pós-Operatórias/etiologia
Recidiva
Estudos Retrospectivos
Neuralgia do Trigêmeo/diagnóstico
Neuralgia do Trigêmeo/fisiopatologia
Neuralgia do Trigêmeo/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170928
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008199


  6 / 5397 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28953646
[Au] Autor:Türk Börü Ü; Duman A; Bölük C; Coskun Duman S; Tasdemir M
[Ad] Endereço:aDepartment of Neurology, Dr. Lütfi Kirdar Kartal Training and Research Hospital bDepartment of Neurology, Maltepe State Hospital cDepartment of Public Health, Bezmialem University, Istanbul, Turkey.
[Ti] Título:Botulinum toxin in the treatment of trigeminal neuralgia: 6-Month follow-up.
[So] Source:Medicine (Baltimore);96(39):e8133, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Botulinum toxin type-A (BTX-A) has been successfully utilized to treat trigeminal neuralgia. In this study, through the use of a new technique, the efficacy of the injection of BTX-A to the maxillary and mandibular nerves was evaluated. METHODS: A total of 27 patients were injected with 100 Units of BTX-A to the maxillary and mandibular nerves. Visual analogue scale score and pain frequency were assessed before treatment and at the first week, second month, and sixth month after treatment. Patients with ≥50% reduction in mean pain score at the second and sixth month were defined as responders. RESULTS: A total of 27 patients were included in the study. BTX-A significantly reduced pain intensity and pain attack frequency at the first week, second month, and sixth month after treatment. At the second month, 74.1% of patients, at the sixth month, 88.9% of patients responded to treatment. Forty-four percent of patients did not experience any pain at the sixth month. The mean recurrence period was 87.7 ±â€Š20.4. BTX-A was well tolerated and showed few treatment-related adverse events. CONCLUSION: Injection to the maxillary and mandibular roots seems to be a highly effective method. In the event of recurrence, after each injection, the pain severity and attack frequency decreased.
[Mh] Termos MeSH primário: Toxinas Botulínicas Tipo A/administração & dosagem
Fármacos Neuromusculares/administração & dosagem
Neuralgia do Trigêmeo/tratamento farmacológico
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Seguimentos
Seres Humanos
Injeções
Masculino
Nervo Mandibular
Nervo Maxilar
Meia-Idade
Medição da Dor
Recidiva
Resultado do Tratamento
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Neuromuscular Agents); EC 3.4.24.69 (Botulinum Toxins, Type A)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170928
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008133


  7 / 5397 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28804114
[Au] Autor:Takeshima S; Shiga Y; Himeno T; Tachiyama K; Kamimura T; Kono R; Takemaru M; Takeshita J; Shimoe Y; Kuriyama M
[Ad] Endereço:Department of Neurology, Brain Attack Center, Ota Memorial Hospital.
[Ti] Título:Clinical, epidemiological and etiological studies of adult aseptic meningitis: Report of 11 cases with varicella zoster virus meningitis.
[So] Source:Rinsho Shinkeigaku;57(9):492-498, 2017 09 30.
[Is] ISSN:1882-0654
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Ab] Resumo:We treated 11 cases (52.7 ± 14.9 years, all male) with varicella zoster virus (VZV) meningitis and 437 cases with adult aseptic meningitis from 2004 to 2016. The incidence rate of adult VZV meningitis in the cases with aseptic meningitis was 2.5%. Herpes zoster infections are reported to have occurred frequently in summer and autumn. VZV meningitis also occurred frequently in the similar seasons, in our patients. The diagnoses were confirmed in 9 cases with positive VZV-DNA in the cerebrospinal fluid and in 2 cases with high VZV-IgG indexes (> 2.0). For diagnosis confirmation, the former test was useful for cases within a week of disease onset, and the latter index was useful for cases after a week of disease onset. Zoster preceded the meningitis in 8 cases, while the meningitis preceded zoster in 1 case, and 2 cases did not have zoster (zoster sine herpete). Two patients were carriers of the hepatitis B virus, 1 patient was administered an influenza vaccine 4 days before the onset of meningitis, and 1 patient was orally administered prednisolone for 2 years, for treatment. Their immunological activities might have been suppressed. The neurological complications included trigeminal neuralgia, facial palsy (Ramsay Hunt syndrome), glossopharyngeal neuralgia, and Elsberg syndrome. Because the diseases in some patients can become severe, they require careful treatment.
[Mh] Termos MeSH primário: Herpes Zoster
Herpesvirus Humano 3
Meningite Viral
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Biomarcadores/sangue
Fenda Labial/etiologia
Fissura Palatina/etiologia
DNA Viral/sangue
Ectrópio/etiologia
Paralisia Facial/etiologia
Doenças do Nervo Glossofaríngeo/etiologia
Herpes Zoster/complicações
Herpes Zoster/diagnóstico
Herpes Zoster/epidemiologia
Herpes Zoster/virologia
Herpesvirus Humano 3/genética
Herpesvirus Humano 3/imunologia
Seres Humanos
Imunoglobulina G/sangue
Japão/epidemiologia
Masculino
Meningite Viral/complicações
Meningite Viral/diagnóstico
Meningite Viral/epidemiologia
Meningite Viral/virologia
Meia-Idade
Estações do Ano
Índice de Gravidade de Doença
Anormalidades Dentárias/etiologia
Neuralgia do Trigêmeo/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Biomarkers); 0 (DNA, Viral); 0 (Immunoglobulin G)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170815
[St] Status:MEDLINE
[do] DOI:10.5692/clinicalneurol.cn-001054


  8 / 5397 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28721891
[Au] Autor:Kotecha R; Miller JA; Modugula S; Barnett GH; Murphy ES; Reddy CA; Suh JH; Neyman G; Machado A; Nagel S; Chao ST
[Ad] Endereço:Department of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio.
[Ti] Título:Stereotactic Radiosurgery for Trigeminal Neuralgia Improves Patient-Reported Quality of Life and Reduces Depression.
[So] Source:Int J Radiat Oncol Biol Phys;98(5):1078-1086, 2017 Aug 01.
[Is] ISSN:1879-355X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: To characterize quality-of-life (QOL) outcomes after stereotactic radiosurgery (SRS) for trigeminal neuralgia (TN). METHODS AND MATERIALS: The EuroQOL 5 Dimensions (EQ-5D) and Patient Health Questionnaire 9 (PHQ-9) were prospectively collected before and after SRS for 50 patients with TN. Pain response and treatment-related facial numbness were classified by Barrow Neurological Institute (BNI) scales. Differences in pooled QOL outcomes were tested with paired t tests and sign tests. The Kaplan-Meier method was used to estimate time-dependent improvements in the EQ-5D index, EQ-5D perceived health status (PHS), PHQ-9 score, and freedom from pain failure (BNI class IV-V) or facial numbness (BNI class III-IV). RESULTS: Following SRS, the 12-month rate of freedom from pain failure was 92% (95% confidence interval [CI], 77%-97%) while the 12-month rate of freedom from facial numbness was 89% (95% CI, 66%-97%). Significant improvements in the EQ-5D index (P<.01), PHS (P=.01), and PHQ-9 (P=.03) were observed, driven by the EQ-5D subscores for self-care and for pain and/or discomfort (P=.02 and P<.01, respectively). At 12 months after SRS, the actuarial rates of improvement in the EQ-5D, PHS, and PHQ-9 were 55% (95% CI, 40%-70%), 59% (95% CI, 40%-76%), and 59% (95% CI, 39%-76%), respectively. The median time to improvement in each of the QOL measures was 9 months (95% CI, 3-36 months) for the EQ-5D index, 5 months (95% CI, 3-36 months) for PHS, and 9 months (95% CI, 3-18 months) for the PHQ-9. On multivariate analysis, only higher prescription dose (86 Gy vs ≤82 Gy) was associated with improvement in the EQ-5D index (hazard ratio, 5.73; 95% CI, 1.85-22.33; P<.01). CONCLUSIONS: Patients with TN treated with SRS reported significant improvements in multiple QOL measures, with the therapeutic benefit strongly driven by improvements in pain and/or discomfort and in self-care, along with lower rates of depression. In this analysis, there appears to be a correlation between prescription dose and treatment response as measured by the EQ-5D.
[Mh] Termos MeSH primário: Depressão/terapia
Qualidade de Vida
Radiocirurgia/métodos
Neuralgia do Trigêmeo/psicologia
Neuralgia do Trigêmeo/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Face
Nível de Saúde
Seres Humanos
Hipestesia/cirurgia
Estimativa de Kaplan-Meier
Avaliação de Estado de Karnofsky
Meia-Idade
Estudos Prospectivos
Dosagem Radioterapêutica
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170720
[St] Status:MEDLINE


  9 / 5397 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
ARRUDA, WALTER OLESCHKO
Texto completo SciELO Brasil
[PMID]:28614531
[Au] Autor:Ruschel LG; Agnoletto GJ; Hunhevicz SC; Almeida DB; Arruda WO
[Ad] Endereço:MD, Neurosurgery Department, Instituto de Neurologia de Curitiba (INC), Curitiba, PR, Brazil.
[Ti] Título:Alternative option for osteogenesis imperfecta and trigeminal neuralgia.
[So] Source:Rev Assoc Med Bras (1992);63(4):307-310, 2017 Apr.
[Is] ISSN:1806-9282
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:Osteogenesis imperfecta (OI) is a bone disorder that can lead to skull base deformities such as basilar invagination, which can cause compression of cranial nerves, including the trigeminal nerve. Trigeminal neuralgia in such cases remains a challenge, given distorted anatomy and deformities. We present an alternative option, consisting in cannulation of the foramen ovale and classical percutaneous treatment. Percutaneous balloon microcompression was performed in a 28 year-old woman with OI and severe trigeminal neuralgia using computed tomography (CT) and radiographic-guided cannulation of the Gasserian ganglion without neuronavigation or stereotactic devices. The patient developed hypoesthesia on the left V1, V2 and V3 segments with good pain control. This alternative technique with a CT-guided puncture, using angiosuite without the need of any Mayfield clamp, neuronavigation systems, frame or frameless stereotactic devices can be a useful, safe and efficient alternative for patients with trigeminal neuralgia with other bone deforming diseases that severely affect the skull base.
[Mh] Termos MeSH primário: Cateterismo/métodos
Forame Oval/cirurgia
Osteogênese Imperfeita/cirurgia
Neuralgia do Trigêmeo/cirurgia
[Mh] Termos MeSH secundário: Adulto
Angiografia
Feminino
Forame Oval/diagnóstico por imagem
Seres Humanos
Osteogênese Imperfeita/diagnóstico por imagem
Reprodutibilidade dos Testes
Tomografia Computadorizada por Raios X
Resultado do Tratamento
Neuralgia do Trigêmeo/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170615
[St] Status:MEDLINE


  10 / 5397 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28532912
[Au] Autor:Jung HH; Park CK; Jung NY; Kim M; Chang WS; Chang JW
[Ad] Endereço:Department of Neurosurgery, Brain Research Institute, Yonsei University College of Medicine, Seoul, Korea.
[Ti] Título:Gamma Knife Radiosurgery for Idiopathic Trigeminal Neuralgia: Does the Status of Offending Vessels Influence Pain Control or Side Effects?
[So] Source:World Neurosurg;104:687-693, 2017 Aug.
[Is] ISSN:1878-8769
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To evaluate pain control and side effects after gamma knife radiosurgery (GKRS) for classical idiopathic trigeminal neuralgia (TN) with or without neurovascular compression (NVC). METHODS: This study included 47 patients with type 1 idiopathic TN and Barrow Neurological Institute (BNI) pain class IV or V who were treated with GKRS, with a maximum dose of 85 Gy targeting the root entry zone, as an initial treatment modality between January 2005 and March 2015. A retrospective analysis of NVC status, pain control, side effects, recurrence, and cross-sectional area was conducted. RESULTS: During follow-up (median, 21.5 months; range, 3-119 months), 36 of the 47 patients (76.6%) demonstrated good outcomes (i.e., improved to below BNI class IIIa). Twenty-two patients did not have NVC (group A) and 25 had NVC (group B). The rate of good outcomes did not differ significantly between the 2 groups (group A, 86.4% [19 of 22] vs. group B, 68% [17 of 25]; P = 0.138). The number of cases in BNI class I or II and the number of recurrences also did not differ significantly between the 2 groups (P = 0.532 and 0.786, respectively). The mean area was 8.64 ± 2.59 mm in nondeviated cases (n = 27) and 2.59 ± 1.68 mm in deviated (n = 10). Side effects were significantly more frequent in deviated cases (80% [8 of 10]) than in nondeviated cases (25.9% [7 of 27]; P = 0.003). CONCLUSIONS: NVC is not a predictive factor for pain control after GKRS for the treatment of idiopathic TN. Side effects may occur more frequently in patients with NVC at the target coordinate when a root entry zone is used, but the subjective symptoms are not always bothersome.
[Mh] Termos MeSH primário: Cirurgia de Descompressão Microvascular/métodos
Síndromes de Compressão Nervosa/cirurgia
Medição da Dor
Radiocirurgia/métodos
Neuralgia do Trigêmeo/cirurgia
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Feminino
Seguimentos
Seres Humanos
Masculino
Cirurgia de Descompressão Microvascular/efeitos adversos
Meia-Idade
Radiocirurgia/efeitos adversos
Recidiva
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170524
[St] Status:MEDLINE



página 1 de 540 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde