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Focal enhancement of cranial nerve V after radiosurgery with the Leksell gamma knife: experience in 15 patients with medically refractory trigeminal neuralgia.

Focal enhancement of cranial nerve V after radiosurgery with the Leksell gamma knife: experience in 15 patients with medically refractory trigeminal neuralgia. Research Abstract Details 

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  • Focal enhancement of cranial nerve V after radiosurgery with the Leksell gamma knife: experience in 15 patients with medically refractory trigeminal neuralgia. Abstract Text:

    r a albericoR A Alberico,r a fenstermakerR A Fenstermaker,j lobelJ Lobel,

    BACKGROUND AND PURPOSE: Gamma knife radiosurgery is an alternative for the treatment of medically refractory trigeminal neuralgia. Few reports of posttreatment MR imaging appearance of cranial nerve V exist. Our purpose was to define MR imaging characteristics in cranial nerve V after gamma knife radiosurgery. METHODS: We retrospectively reviewed MR images of 15 patients who underwent gamma knife radiosurgery for trigeminal neuralgia. Radiation doses were 35-45 Gy at the 50% isodose line. Thin-section T2-weighted images and contrast-enhanced and nonenhanced T1-weighted images were obtained the day of radiosurgery and within the next 5 mo. Images were scored for enhancement and hyperintensity on T2-weighted images. Time to follow-up imaging and radiation dose were recorded. RESULTS: Mean time to follow-up imaging was 61 +/- 29 d. Posttreatment T2-weighted images showed stable signal intensity in all cases, with radiosurgical target site enhancement in 10. All five patients whose images did not show treatment-related enhancement received radiation doses of 35 Gy. The data suggested a correlation between enhancement with radiation dose (P =.06). No correlation of enhancement with treatment response or time to follow-up existed (P >.05). CONCLUSION: The trigeminal nerve often enhances at the target site after radiosurgery. Lack of trigeminal nerve enhancement occurred only with lower doses (35 Gy at 50%). MR imaging may be useful to confirm the presence and location of the treatment site after gamma knife radiosurgery for trigeminal neuralgia.

    Focal enhancement of cranial nerve V after radiosurgery with the Leksell gamma knife: experience in 15 patients with medically refractory trigeminal neuralgia. Publishing Authors By Initials

    ra albericoRA Alberico,ra fenstermakerRA Fenstermaker,j lobelJ Lobel,

    For similar nervous system diseases: cranial nerve diseases: trigeminal nerve diseases: trigeminal neuralgia research abstracts see: nervous system diseases: cranial nerve diseases: trigeminal nerve diseases: trigeminal neuralgia research

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    Focal enhancement of cranial nerve V after radiosurgery with the Leksell gamma knife: experience in 15 patients with medically refractory trigeminal neuralgia. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: AJNR. American journal of neuroradiology

    VOLUME: 22

    Page Numbers: 1944-8

    Journal Abbreviation:

    ISSN: 0195-6108

    DAY: 14

    MONTH: 02

    YEAR: 2008

    Focal enhancement of cranial nerve V after radiosurgery with the Leksell gamma knife: experience in 15 patients with medically refractory trigeminal neuralgia. Information

    Number of References:

    LANGUAGE: eng

    NlmUniqueID: 8003708

    Focal enhancement of cranial nerve V after radiosurgery with the Leksell gamma knife: experience in 15 patients with medically refractory trigeminal neuralgia. Keywords Mesh Terms:

    KEYWORDS: Trigeminal Neuralgia

    MESH TERMS: surgery

    Chemical & Substance for Abstract: Focal enhancement of cranial nerve V after radiosurgery with the Leksell gamma knife: experience in 15 patients with medically refractory trigeminal neuralgia. Information

    Substance Name: Gadolinium DTPA

    Registry Number: 80529-93-7

    Grant and Affiliation Information for Focal enhancement of cranial nerve V after radiosurgery with the Leksell gamma knife: experience in 15 patients with medically refractory trigeminal neuralgia.

    AFFILIATION: Departments of Diagnostic Radiology (R.A.A.) and Neurosurgery (R.A.F., J.L.), Roswell Park Cancer Institute, Buffalo, NY.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: AJNR Am J Neuroradiol

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