Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia

Trigeminal neuralgia (TN), also known as tic Dolorex, is a unilateral paroxysmal lancinating pain affecting one or more of the branches of the trigeminal nerve. The treatment of TN can be very challenging despite the numerous options patients and physicians can choose from. Stereotactic radiosurgery...
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Autor*in:	Raj Kumar Badam [verfasserIn] Supraja Chowdary [verfasserIn] Sudheer Kanth Kondamari [verfasserIn] Sujan Kumar Kotha [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2016

Schlagwörter:	Gamma knife gamma knife surgery (GKS) stereotactic radiosurgery (SR) trigeminal neuralgia (TN)

Übergeordnetes Werk:	In: Journal of Dr. NTR University of Health Sciences - Wolters Kluwer Medknow Publications, 2018, 5(2016), 3, Seite 169-172
Übergeordnetes Werk:	volume:5 ; year:2016 ; number:3 ; pages:169-172

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.4103/2277-8632.191852

Katalog-ID:	DOAJ017335108

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520			\|a Trigeminal neuralgia (TN), also known as tic Dolorex, is a unilateral paroxysmal lancinating pain affecting one or more of the branches of the trigeminal nerve. The treatment of TN can be very challenging despite the numerous options patients and physicians can choose from. Stereotactic radiosurgery (SR) with gamma knife surgery (GKS) is a rapidly emerging surgical modality in the management of medically refractory TN. GKS is the most recent and least invasive neurosurgical treatment alternative to microvascular decompression and rhizotomies. The gamma knife is a complex machine that uses cobalt-60 as energy and is able to focus a precise intersection of 201 beams of these gamma rays to perform radiosurgery. It is associated with a low risk of facial paresthesia, an approximately 80% rate of significant pain relief, and a low recurrence rate.
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allfields	10.4103/2277-8632.191852 doi (DE-627)DOAJ017335108 (DE-599)DOAJab07d8ff0af64bc883345fc099568b43 DE-627 ger DE-627 rakwb eng Raj Kumar Badam verfasserin aut Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Trigeminal neuralgia (TN), also known as tic Dolorex, is a unilateral paroxysmal lancinating pain affecting one or more of the branches of the trigeminal nerve. The treatment of TN can be very challenging despite the numerous options patients and physicians can choose from. Stereotactic radiosurgery (SR) with gamma knife surgery (GKS) is a rapidly emerging surgical modality in the management of medically refractory TN. GKS is the most recent and least invasive neurosurgical treatment alternative to microvascular decompression and rhizotomies. The gamma knife is a complex machine that uses cobalt-60 as energy and is able to focus a precise intersection of 201 beams of these gamma rays to perform radiosurgery. It is associated with a low risk of facial paresthesia, an approximately 80% rate of significant pain relief, and a low recurrence rate. Gamma knife gamma knife surgery (GKS) stereotactic radiosurgery (SR) trigeminal neuralgia (TN) Medicine R Supraja Chowdary verfasserin aut Sudheer Kanth Kondamari verfasserin aut Sujan Kumar Kotha verfasserin aut In Journal of Dr. NTR University of Health Sciences Wolters Kluwer Medknow Publications, 2018 5(2016), 3, Seite 169-172 (DE-627)77002811X (DE-600)2736508-6 22778632 nnns volume:5 year:2016 number:3 pages:169-172 https://doi.org/10.4103/2277-8632.191852 kostenfrei https://doaj.org/article/ab07d8ff0af64bc883345fc099568b43 kostenfrei http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2016;volume=5;issue=3;spage=169;epage=172;aulast=Badam kostenfrei https://doaj.org/toc/2277-8632 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2016 3 169-172
spelling	10.4103/2277-8632.191852 doi (DE-627)DOAJ017335108 (DE-599)DOAJab07d8ff0af64bc883345fc099568b43 DE-627 ger DE-627 rakwb eng Raj Kumar Badam verfasserin aut Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Trigeminal neuralgia (TN), also known as tic Dolorex, is a unilateral paroxysmal lancinating pain affecting one or more of the branches of the trigeminal nerve. The treatment of TN can be very challenging despite the numerous options patients and physicians can choose from. Stereotactic radiosurgery (SR) with gamma knife surgery (GKS) is a rapidly emerging surgical modality in the management of medically refractory TN. GKS is the most recent and least invasive neurosurgical treatment alternative to microvascular decompression and rhizotomies. The gamma knife is a complex machine that uses cobalt-60 as energy and is able to focus a precise intersection of 201 beams of these gamma rays to perform radiosurgery. It is associated with a low risk of facial paresthesia, an approximately 80% rate of significant pain relief, and a low recurrence rate. Gamma knife gamma knife surgery (GKS) stereotactic radiosurgery (SR) trigeminal neuralgia (TN) Medicine R Supraja Chowdary verfasserin aut Sudheer Kanth Kondamari verfasserin aut Sujan Kumar Kotha verfasserin aut In Journal of Dr. NTR University of Health Sciences Wolters Kluwer Medknow Publications, 2018 5(2016), 3, Seite 169-172 (DE-627)77002811X (DE-600)2736508-6 22778632 nnns volume:5 year:2016 number:3 pages:169-172 https://doi.org/10.4103/2277-8632.191852 kostenfrei https://doaj.org/article/ab07d8ff0af64bc883345fc099568b43 kostenfrei http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2016;volume=5;issue=3;spage=169;epage=172;aulast=Badam kostenfrei https://doaj.org/toc/2277-8632 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2016 3 169-172
allfields_unstemmed	10.4103/2277-8632.191852 doi (DE-627)DOAJ017335108 (DE-599)DOAJab07d8ff0af64bc883345fc099568b43 DE-627 ger DE-627 rakwb eng Raj Kumar Badam verfasserin aut Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Trigeminal neuralgia (TN), also known as tic Dolorex, is a unilateral paroxysmal lancinating pain affecting one or more of the branches of the trigeminal nerve. The treatment of TN can be very challenging despite the numerous options patients and physicians can choose from. Stereotactic radiosurgery (SR) with gamma knife surgery (GKS) is a rapidly emerging surgical modality in the management of medically refractory TN. GKS is the most recent and least invasive neurosurgical treatment alternative to microvascular decompression and rhizotomies. The gamma knife is a complex machine that uses cobalt-60 as energy and is able to focus a precise intersection of 201 beams of these gamma rays to perform radiosurgery. It is associated with a low risk of facial paresthesia, an approximately 80% rate of significant pain relief, and a low recurrence rate. Gamma knife gamma knife surgery (GKS) stereotactic radiosurgery (SR) trigeminal neuralgia (TN) Medicine R Supraja Chowdary verfasserin aut Sudheer Kanth Kondamari verfasserin aut Sujan Kumar Kotha verfasserin aut In Journal of Dr. NTR University of Health Sciences Wolters Kluwer Medknow Publications, 2018 5(2016), 3, Seite 169-172 (DE-627)77002811X (DE-600)2736508-6 22778632 nnns volume:5 year:2016 number:3 pages:169-172 https://doi.org/10.4103/2277-8632.191852 kostenfrei https://doaj.org/article/ab07d8ff0af64bc883345fc099568b43 kostenfrei http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2016;volume=5;issue=3;spage=169;epage=172;aulast=Badam kostenfrei https://doaj.org/toc/2277-8632 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2016 3 169-172
allfieldsGer	10.4103/2277-8632.191852 doi (DE-627)DOAJ017335108 (DE-599)DOAJab07d8ff0af64bc883345fc099568b43 DE-627 ger DE-627 rakwb eng Raj Kumar Badam verfasserin aut Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Trigeminal neuralgia (TN), also known as tic Dolorex, is a unilateral paroxysmal lancinating pain affecting one or more of the branches of the trigeminal nerve. The treatment of TN can be very challenging despite the numerous options patients and physicians can choose from. Stereotactic radiosurgery (SR) with gamma knife surgery (GKS) is a rapidly emerging surgical modality in the management of medically refractory TN. GKS is the most recent and least invasive neurosurgical treatment alternative to microvascular decompression and rhizotomies. The gamma knife is a complex machine that uses cobalt-60 as energy and is able to focus a precise intersection of 201 beams of these gamma rays to perform radiosurgery. It is associated with a low risk of facial paresthesia, an approximately 80% rate of significant pain relief, and a low recurrence rate. Gamma knife gamma knife surgery (GKS) stereotactic radiosurgery (SR) trigeminal neuralgia (TN) Medicine R Supraja Chowdary verfasserin aut Sudheer Kanth Kondamari verfasserin aut Sujan Kumar Kotha verfasserin aut In Journal of Dr. NTR University of Health Sciences Wolters Kluwer Medknow Publications, 2018 5(2016), 3, Seite 169-172 (DE-627)77002811X (DE-600)2736508-6 22778632 nnns volume:5 year:2016 number:3 pages:169-172 https://doi.org/10.4103/2277-8632.191852 kostenfrei https://doaj.org/article/ab07d8ff0af64bc883345fc099568b43 kostenfrei http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2016;volume=5;issue=3;spage=169;epage=172;aulast=Badam kostenfrei https://doaj.org/toc/2277-8632 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2016 3 169-172
allfieldsSound	10.4103/2277-8632.191852 doi (DE-627)DOAJ017335108 (DE-599)DOAJab07d8ff0af64bc883345fc099568b43 DE-627 ger DE-627 rakwb eng Raj Kumar Badam verfasserin aut Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Trigeminal neuralgia (TN), also known as tic Dolorex, is a unilateral paroxysmal lancinating pain affecting one or more of the branches of the trigeminal nerve. The treatment of TN can be very challenging despite the numerous options patients and physicians can choose from. Stereotactic radiosurgery (SR) with gamma knife surgery (GKS) is a rapidly emerging surgical modality in the management of medically refractory TN. GKS is the most recent and least invasive neurosurgical treatment alternative to microvascular decompression and rhizotomies. The gamma knife is a complex machine that uses cobalt-60 as energy and is able to focus a precise intersection of 201 beams of these gamma rays to perform radiosurgery. It is associated with a low risk of facial paresthesia, an approximately 80% rate of significant pain relief, and a low recurrence rate. Gamma knife gamma knife surgery (GKS) stereotactic radiosurgery (SR) trigeminal neuralgia (TN) Medicine R Supraja Chowdary verfasserin aut Sudheer Kanth Kondamari verfasserin aut Sujan Kumar Kotha verfasserin aut In Journal of Dr. NTR University of Health Sciences Wolters Kluwer Medknow Publications, 2018 5(2016), 3, Seite 169-172 (DE-627)77002811X (DE-600)2736508-6 22778632 nnns volume:5 year:2016 number:3 pages:169-172 https://doi.org/10.4103/2277-8632.191852 kostenfrei https://doaj.org/article/ab07d8ff0af64bc883345fc099568b43 kostenfrei http://www.jdrntruhs.org/article.asp?issn=2277-8632;year=2016;volume=5;issue=3;spage=169;epage=172;aulast=Badam kostenfrei https://doaj.org/toc/2277-8632 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5 2016 3 169-172
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author	Raj Kumar Badam
spellingShingle	Raj Kumar Badam misc Gamma knife misc gamma knife surgery (GKS) misc stereotactic radiosurgery (SR) misc trigeminal neuralgia (TN) misc Medicine misc R Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia
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topic_title	Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia Gamma knife gamma knife surgery (GKS) stereotactic radiosurgery (SR) trigeminal neuralgia (TN)
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title	Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia
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title_full	Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia
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title_sort	gamma knife radiosurgery: making lives merrier for refractory trigeminal neuralgia
title_auth	Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia
abstract	Trigeminal neuralgia (TN), also known as tic Dolorex, is a unilateral paroxysmal lancinating pain affecting one or more of the branches of the trigeminal nerve. The treatment of TN can be very challenging despite the numerous options patients and physicians can choose from. Stereotactic radiosurgery (SR) with gamma knife surgery (GKS) is a rapidly emerging surgical modality in the management of medically refractory TN. GKS is the most recent and least invasive neurosurgical treatment alternative to microvascular decompression and rhizotomies. The gamma knife is a complex machine that uses cobalt-60 as energy and is able to focus a precise intersection of 201 beams of these gamma rays to perform radiosurgery. It is associated with a low risk of facial paresthesia, an approximately 80% rate of significant pain relief, and a low recurrence rate.
abstractGer	Trigeminal neuralgia (TN), also known as tic Dolorex, is a unilateral paroxysmal lancinating pain affecting one or more of the branches of the trigeminal nerve. The treatment of TN can be very challenging despite the numerous options patients and physicians can choose from. Stereotactic radiosurgery (SR) with gamma knife surgery (GKS) is a rapidly emerging surgical modality in the management of medically refractory TN. GKS is the most recent and least invasive neurosurgical treatment alternative to microvascular decompression and rhizotomies. The gamma knife is a complex machine that uses cobalt-60 as energy and is able to focus a precise intersection of 201 beams of these gamma rays to perform radiosurgery. It is associated with a low risk of facial paresthesia, an approximately 80% rate of significant pain relief, and a low recurrence rate.
abstract_unstemmed	Trigeminal neuralgia (TN), also known as tic Dolorex, is a unilateral paroxysmal lancinating pain affecting one or more of the branches of the trigeminal nerve. The treatment of TN can be very challenging despite the numerous options patients and physicians can choose from. Stereotactic radiosurgery (SR) with gamma knife surgery (GKS) is a rapidly emerging surgical modality in the management of medically refractory TN. GKS is the most recent and least invasive neurosurgical treatment alternative to microvascular decompression and rhizotomies. The gamma knife is a complex machine that uses cobalt-60 as energy and is able to focus a precise intersection of 201 beams of these gamma rays to perform radiosurgery. It is associated with a low risk of facial paresthesia, an approximately 80% rate of significant pain relief, and a low recurrence rate.
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title_short	Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia
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up_date	2024-07-04T01:13:09.126Z
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Gamma knife radiosurgery: Making lives merrier for refractory trigeminal neuralgia

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