Journal Information
Share
Share
Download PDF
More article options
Clinical Research
Available online 16 July 2024
Partial sensory rhizotomy in recurrent trigeminal neuralgia. Our experience and literature review
La rizotomia parcial sensitiva en la neuralgia del trigémino recurrente. Nuestra experiencia y revisión de la literatura
Jorge Díaz-Molinaa,
Corresponding author
jdiazmolina1@gmail.com

Corresponding author.
, Javier Ordunab, David Riveroa, Paula Alcázara, Luis Manuel Gonzáleza
a Hospital Universitario Miguel Servet, Zaragoza, Spain
b Hospital MAZ, Zaragoza, Spain
Article information
Statistics
Figures (1)
Tables (3)
Table 1. Barrow Neurological Institute (BNI) pain intensity score.
Table 2. Descriptive table of patients.
Table 3. Summary of PSTR in the literature.
Show moreShow less
Additional material (1)
Abstract
Background and objective

Trigeminal Neuralgia (NT) is a common pathology in Neurosurgery. It can be classified as idiopathic or secondary to other pathologies, such as Multiple Sclerosis (MS). Several surgical treatments have been described, some of them being replaced by more modern techniques. Partial sensory rhizotomy (PSR), described by Dandy is a technique replaced by other techniques due to its permanent side effects. We present our experience with this technique in patients with recurrent NT.

Methods and materials

A retrospective review is carried out on five patients who underwent surgery at our center from 2018 to 2023 using the PSR technique.

Results

All the patients intervened showed significant clinical improvement, except one patient who required reintervention due to uncontrolled pain. According to the Barrow Neurological Institute (BNI) scale, 80% (4/5) of patients showed improvement from grade V to grades I/II except for one of them. This patient suffered from MS. Additionally, one patient presented a corneal ulcer after surgery due to impairment of the corneal reflex.

Conclusion

In our experience, PSR is a valid treatment option in selected patients with recurrent TN. It has a low incidence of complications with an adequate surgical technique and anatomical knowledge of the region. To the best of our knowledge, we are one of the few centers in Spain to publish our results with PSR in the last ten years. We report good results in pain control withdrawing medication in 80% (4/5) of the operated patients.

Keywords:
Trigeminal neuralgia
Multiple sclerosis
Partial sensory rhizotomy
Resumen
Antecedentes y objetivo

La Neuralgia del Trigémino (NT) es una patología común para los neurocirujanos, pudiendo clasificarse en idiopática o secundaria a otras patologías como la esclerosis múltiple (EM). Se han descrito múltiples tratamientos quirúrgicos que han ido evolucionando a lo largo del tiempo. Los efectos secundarios permanentes de la rizotomía parcial sensitiva (RPS) descrita por Dandy, hicieron que esta técnica fuera sustituida por otras menos agresivas. Exponemos nuestra experiencia con esta técnica en pacientes con NT recurrente.

Material y métodos

Se realiza una revisión retrospectiva de cinco pacientes intervenidos en nuestro centro desde el año 2018 hasta el 2023 mediante la técnica de la RPS del trigémino.

Resultados

Todos los pacientes operados presentaron mejoría clínica significativa, siendo necesario reintervenir a uno de ellos por persistencia del dolor. Según la escala del Barrow Neurological Institute (BNI), un 80% de los pacientes (4/5) mejoraron de un grado V a un grado I/II. El restante presentaba EM. Como complicación inesperada, un paciente presentó una úlcera corneal tras la cirugía por afectación del reflejo corneal.

Conclusión

En nuestra experiencia, la RPS es una opción válida de tratamiento en pacientes seleccionados. Presenta baja incidencia de complicaciones con una adecuada técnica quirúrgica y conocimiento anatómico de la zona. Según la literatura disponible, somos uno de los pocos centros en España que publica sus resultados con la RPS en la última década. En nuestra serie observamos buenos resultados en el control del dolor, pudiendo retirar la medicación en el 80% (4/5) de los casos.

Palabras clave:
Neuralgia trigeminal
Esclerosis múltiple
Rizotomía parcial sensitiva

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)
Article options
Tools
Supplemental materials
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?