Percutaneous radio-frequency thermocoagulation of the Gasserian ganglion guided by high-speed real-time CT fluoroscopy

被引：24

作者：

Koizuka, Shiro ^{[1
,2
]}

Saito, Shigeru ^{[2
]}

Sekimoto, Kenichi ^{[2
]}

Tobe, Masaru ^{[2
]}

Obata, Hideaki ^{[2
]}

Koyama, Yoshinori ^{[3
]}

机构：

[1] Gunma Univ Hosp, Dept Anesthesiol, Maebashi, Gunma 3718511, Japan

[2] Gunma Univ, Grad Sch Med, Dept Anesthesiol, Maebashi, Gunma 371, Japan

[3] Gunma Univ, Grad Sch Med, Dept Diagnost Radiol & Nucl Med, Maebashi, Gunma 371, Japan

来源：

NEURORADIOLOGY | 2009年 / 51卷 / 09期

关键词：

Trigeminal neuralgia; Gasserian ganglion block; CT fluoroscopy; Percutaneous radio-frequency thermocoagulation;

D O I：

10.1007/s00234-009-0541-8

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Although Gasserian ganglion block is an established treatment for trigeminal neuralgia, the foramen ovale cannot always be clearly visualized by classical X-ray radiography. We present a new method for percutaneous radio-frequency thermocoagulation of the Gasserian ganglion, in which computed tomography (CT) fluoroscopy is used to guide needle placement. In the present study, 15 patients with trigeminal neuralgia underwent percutaneous radio-frequency thermocoagulation of the Gasserian ganglion guided by high-speed real-time CT fluoroscopy. Trigeminal neuralgia was improved in all patients after treatment without any severe complications. Moderate dysesthesia occurred in only one case. CT fluoroscopy-guided percutaneous radio-frequency thermocoagulation of the Gasserian ganglion was safe, quick, and effective for patients with intractable idiopathic trigeminal neuralgia.

引用

页码：563 / 566

页数：4

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