CT-guided trigeminal tractotomy

Kanpolat, Yücel; Deda, Haluk; Akyar, Serdar; Çağlar, Şükrü; Bilgiç, Sadık

doi:10.1007/bf01403596

Cited by 56 publications

(23 citation statements)

References 11 publications

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“…In 1989, Kanpolat et al 2 first introduced the idea of CT-guided percutaneous ablation of the upper spinal cord for pain, including CT-guided trigeminal tractotomy, which now constitutes the most commonly used tractotomy-nucleotomy method. Percutaneous tractotomy is performed under local anesthesia, and needle position is verified by the awake patient after stimulation-induced paresthesia of the face.…”

Section: Discussionmentioning

confidence: 99%

“…Serial CT scans were used to guide the tip of the Levin-Cosman cordotomy electrode radiofrequency needle to the dorsal surface of the spinal cord, two-thirds of the distance from the midline to the equator of the spinal cord (Fig. 1C), which represents the surface anatomy of the trigeminal tract and the underlying trigeminal nucleus as described by Kanpolat et al 2 Impedance was measured by using a Radionics RFG-3C generator (formerly Radionics Inc.) (Fig. 1D) and was 300-400 W in the subarachnoid space.…”

Section: Casementioning

confidence: 99%

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Percutaneous trigeminal tractotomy–nucleotomy with use of intraoperative computed tomography and general anesthesia: report of 2 cases

Thompson

Burchiel²,

Raslan³

2013

FOC

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For confirming the correct location of the radiofrequency electrode before creation of a lesion, percutaneous CT-guided trigeminal tractotomy–nucleotomy is most commonly performed with the patient prone and awake. However, for patients whose facial pain and hypersensitivity are so severe that the patients are unable to rest their face on a support (as required with prone positioning), awake CT-guided tractotomy-nucleotomy might not be feasible. The authors describe 2 such patients, for whom percutaneous intraoperative CT-guided tractotomy-nucleotomy under general anesthesia was successful. One patient was a 79-year-old man with profound left facial postherpetic neuralgia, who was unable to tolerate awake CT-guided tractotomy-nucleotomy, and the other was a 45-year-old woman with intractable hemicranial pain that developed after a right frontal lesionectomy for epilepsy. Each patient underwent a percutaneous intraoperative CT-guided tractotomy-nucleotomy under general anesthesia. No complications occurred, and each patient reported excellent pain relief for up to 6 and 3 months after surgery, respectively. Percutaneous intraoperative CT-guided tractotomy-nucleotomy performed on anesthetized patients is effective for facial postherpetic neuralgia and postoperative hemicranial neuralgia.

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Section: Discussionmentioning

confidence: 99%

Section: Casementioning

confidence: 99%

Percutaneous trigeminal tractotomy–nucleotomy with use of intraoperative computed tomography and general anesthesia: report of 2 cases

Thompson

Burchiel²,

Raslan³

2013

FOC

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“…However, we performed CT-guided trigeminal tractotomy for the treatment of this special case. The procedure is not only an effective procedure in denervating pain areas of the 5th , but also for pain areas of the 7th, 9th, and 10th nerves and nucleus caudalis (17).…”

Section: Discussionmentioning

confidence: 99%

Trigeminal neuropathic pain following honeybee sting: a case report

Kahiloğulları

Ugur²,

Tatlı³

et al. 2009

Turkish Neurosurgery

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The neurological complications of bee venom poisoning vary from optic neuritis to pontine hematoma. However, to our best knowledge, trigeminal neuropathic pain secondary to bee sting has not been reported previously in the literature. We report the case of a 52-year-old male patient with right-sided trigeminal neuropathic pain that began a month earlier, following a honeybee sting to the right forehead. The patient was successfully treated by CT-guided percutaneous trigeminal tractotomy. The present report demonstrated that a honeybee sting may result in trigeminal neuropathic pain and CT-guided percutaneous trigeminal tractotomy is effective in the treatment of such cases.

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“…Direct visualization of the spinal cord and the target is possible with computed tomography (CT) and magnetic resonance imaging (MRI). [10][11][12][13] Because of the use of metallic instruments in percutaneous pain procedures, MRI guidance is not widely used. However, with CT visualization, it is possible to perform the procedures with precise anatomical (morphological) orientation.…”

mentioning

confidence: 99%

“…This step is the first and most important stage of percutaneous destructive pain procedures, enabling the surgeon to locate the target and demonstrating the realtime relationship of the electrode to the target. [10][11][12] The second stage of procedures is the neurophysiological evaluation of the target, performed routinely for 30 years. The final step of procedures is making controlled lesions with the help of specially tailored needle-electrode systems.…”

mentioning

confidence: 99%

Percutaneous Cordotomy, Tractotomy, and Midline Myelotomy: Minimally Invasive Stereotactic Pain Procedures

Kanpolat¹

2004

Seminars in Neurosurgery

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CT-guided trigeminal tractotomy

Cited by 56 publications

References 11 publications

Percutaneous trigeminal tractotomy–nucleotomy with use of intraoperative computed tomography and general anesthesia: report of 2 cases

Percutaneous trigeminal tractotomy–nucleotomy with use of intraoperative computed tomography and general anesthesia: report of 2 cases

Trigeminal neuropathic pain following honeybee sting: a case report

Percutaneous Cordotomy, Tractotomy, and Midline Myelotomy: Minimally Invasive Stereotactic Pain Procedures

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