Comparison of the efficacy in improving trigeminal neuralgia in petroclival meningioma between microsurgery and radiosurgery: a meta-analysis

被引:0
作者
Byun, Joonho [1 ]
Roh, Haewon [1 ]
Jo, Hyunjun [1 ]
Kwon, Woo Keun [1 ]
Yoon, Won Ki [1 ]
Kwon, Taek Hyun [1 ]
Kim, Jong Hyun [1 ]
机构
[1] Korea Univ, Coll Med, Dept Neurosurg, Guro Hosp, 148 Gurodong Ro, Guro 08308, Seoul, South Korea
关键词
Petroclival; Meningioma; Trigeminal neuralgia; Radiosurgery; Microsurgery; GAMMA-KNIFE RADIOSURGERY; STEREOTACTIC RADIOSURGERY; MICROVASCULAR DECOMPRESSION; SECONDARY; TUMOR; SURGERY;
D O I
10.1007/s10143-023-02225-8
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The purpose of this study was to systematically review studies in the literature to assess the superiority between microsurgery and radiosurgery regarding the efficacy in improving petroclival meningioma (PCM)-related trigeminal neuralgia (TN). PubMed, Embase, Web of Science, and Cochrane clinical trial databases were systematically searched from the inception until December 08, 2022. The overall proportion of patients with improved TN after treatment in all six included studies was 56% (95% confidence interval [CI], 35-76.9%). Higgins I-2 statistics showed significant heterogeneity (I-2 = 90%). Subgroup analysis showed that the proportion of improved TN was higher in the microsurgery group than that in the radiosurgery group (89%; 95% CI, 81-96.5% vs. 37%, 95% CI, 22-52.7%, respectively, p < 0.01). Subgroup analysis (for studies that documented the number of posttreatment Barrow Neurological Institute scores 1 and 2) revealed that the proportion of pain-free without medication after treatment was higher in the microsurgery group than that in the radiosurgery group (90.7%; 95% CI, 81-99.7% vs. 34.5%, 95% CI, 21.3-47.7.7%, respectively, p < 0.01). Based on the results of this meta-analysis, we concluded that microsurgery is superior to radiosurgery in controlling PCM-related TN.
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页数:9
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共 32 条
  • [1] Gadolinium Enhanced 3D Proton Density Driven Equilibrium MR Imaging in the Evaluation of Cisternal Tumor and Associated Structures: Comparison with Balanced Fast-Field-Echo Sequence
    Ahn, Sung Jun
    Yoo, Mi Ri
    Suh, Sang Hyun
    Lee, Seung-Koo
    Lee, Kyu Sung
    Son, Eun Jin
    Chung, Tae-Sub
    [J]. PLOS ONE, 2014, 9 (07):
  • [2] Microvascular decompression in trigeminal neuralgia - a prospective study of 115 patients
    Andersen, Anne Sofie Schott
    Heinskou, Tone Bruvik
    Rochat, Per
    Springborg, Jacob Bertram
    Noory, Navid
    Smilkov, Emil Andonov
    Bendtsen, Lars
    Maarbjerg, Stine
    [J]. JOURNAL OF HEADACHE AND PAIN, 2022, 23 (01)
  • [3] Neurotologic Complications Following Microvascular Decompression: A Retrospective Study
    Bartindale, Matthew
    Mohamed, Ayah
    Bell, Jason
    Kircher, Matthew
    Hill, Jacqueline
    Anderson, Douglas
    Leonetti, John
    [J]. JOURNAL OF NEUROLOGICAL SURGERY PART B-SKULL BASE, 2020, 81 (01) : 37 - 42
  • [4] Gamma knife radiosurgery for idiopathic and secondary trigeminal neuralgia
    Chang, JW
    Chang, JH
    Park, YG
    Chung, SS
    [J]. JOURNAL OF NEUROSURGERY, 2000, 93 : 147 - 151
  • [5] Radiosurgery for Secondary Trigeminal Neuralgia: Revisiting the Treatment Paradigm
    Chivukula, Srinivas
    Kim, Won
    Zhuo, Xiaoyi
    Tenn, Stephen
    Kaprealian, Tania
    DeSalles, Antonio
    Pouratian, Nader
    [J]. WORLD NEUROSURGERY, 2017, 99 : 288 - 294
  • [6] Trigeminal Neuralgia
    Cruccu, Giorgio
    Di Stefano, Giulia
    Truini, Andrea
    [J]. NEW ENGLAND JOURNAL OF MEDICINE, 2020, 383 (08) : 754 - 762
  • [7] Bias in meta-analysis detected by a simple, graphical test
    Egger, M
    Smith, GD
    Schneider, M
    Minder, C
    [J]. BMJ-BRITISH MEDICAL JOURNAL, 1997, 315 (7109): : 629 - 634
  • [8] Long-term control of petroclival meningiomas through radiosurgery Clinical article
    Flannery, Thomas J.
    Kano, Hideyuki
    Lunsford, L. Dade
    Sirin, Sait
    Tormenti, Matthew
    Niranjan, Ajay
    Flickinger, John C.
    Kondziolka, Douglas
    [J]. JOURNAL OF NEUROSURGERY, 2010, 112 (05) : 957 - 964
  • [9] Surgical Treatment and Clinical Outcomes of Petroclival Meningiomas: A Single-Center Experience of 107 Patients
    Gao, Baocheng
    Zhang, Yongfa
    Tan, Jiang
    Ouyang, Jinsong
    Tai, Bai
    Cao, Xianbao
    Li, Tao
    Hu, Shuang
    [J]. FRONTIERS IN ONCOLOGY, 2021, 11
  • [10] Petroclival meningiomas: update of current treatment and consensus by the EANS skull base section
    Giammattei, Lorenzo
    di Russo, P.
    Starnoni, D.
    Passeri, T.
    Bruneau, M.
    Meling, T. R.
    Berhouma, M.
    Cossu, G.
    Cornelius, J. F.
    Paraskevopoulos, D.
    Zazpe, I.
    Jouanneau, E.
    Cavallo, L. M.
    Benes, V.
    Seifert, V.
    Tatagiba, M.
    Schroeder, H. W. S.
    Goto, T.
    Ohata, K.
    Al-Mefty, O.
    Fukushima, T.
    Messerer, M.
    Daniel, R. T.
    Froelich, S.
    [J]. ACTA NEUROCHIRURGICA, 2021, 163 (06) : 1639 - 1663