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  1. 050 医学部, 大学院医学系研究科 (Faculty&Graduate School of Medicine)
  2. 0502 紀要・刊行物
  3. 05021 信州医学雑誌 (The Shinshu medical journal)
  4. Vol. 59 No. 2

相澤病院における特発性三叉神経痛に対するガンマナイフ治療

http://hdl.handle.net/10091/12818
34fcca48-4800-4c89-8a01-be5e827546d3
プレビュー
名前 / ファイル ライセンス Actions
Shinshu_med59-2-02.pdf Shinshu_med59-2-02.pdf (960.5 kB)
item type 紀要論文 / Departmental Bulletin Paper(1)
公開日 2011-04-26
タイトル
タイトル 相澤病院における特発性三叉神経痛に対するガンマナイフ治療
言語
言語 jpn
キーワード
主題 radiosurgery
キーワード
主題 gamma knife
キーワード
主題 trigeminal neuralgia
キーワード
主題 定位放射線治療
キーワード
主題 ガンマナイフ
キーワード
主題 三叉神経痛
資源タイプ
資源 http://purl.org/coar/resource_type/c_6501
タイプ departmental bulletin paper
その他(別言語等)のタイトル
その他のタイトル Gamma Knife Radiosurgery for Idiopathic Trigeminal Neuralgia at Aizawa Hospital
著者 小山, 徹

× 小山, 徹

WEKO 9446

小山, 徹

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出版者
出版者 信州医学会
引用
内容記述タイプ Other
内容記述 信州医学雑誌 59(2): 75-80(2011)
書誌情報 信州医学雑誌

巻 59, 号 2, p. 75-80, 発行日 2011-04-10
抄録
内容記述タイプ Abstract
内容記述 The purpose of this retrospective study was to better understand the outcome of gamma knife radiosurgery in patients with idiopathic trigeminal neuralgia. Between April 2003 and August 2009, 35 patients with idiopathic trigeminal neuralgia in whom medication with carbamazepin was not effective were treated with gamma knife raidosurgery for the first time at Aizawa Hospital. Of these 35 patients,12 were men and 23 were women. The median age was 69.8 years (range 46-86 years). Pain was predominantly distributed in the V2 and V3 divisions. Under local anesthesia, all radiosurgical procedures were performed with the aid of Gamma Unit Model B, and stereotactic MR imaging (heavy T2 and time-of-flight) was performed to identify the trigeminal nerve. A single 4-mm isocenter was used in all patients, and the target was placed between the root entry zone and retrogasserian region. The central radiation dose was 80 Gy or 85 Gy. The median follow-up period was 45.6 months (range 13-90 months). Complete pain relief with or without medication was achieved in 75.8% at 1 year, 68% at 2 years, 64.7% at 3 years, 57.1% at 4 years, and 55.6% at 5 years. Pain relief was not achieved at all in a patient whose trigeminal nerve was difficult to identify. One patient, who was treated with a central dose of 85 Gy, complained of bothersome facial numbness. Although the long-term results of pain relief remain unknown and gamma knife radiosurgery should be performed in carefully selected patients, the results of this study suggest that gamma knife radiosurgery is a safe and effective treatment for idiopathic refractory trigeminal neuralgia.
資源タイプ(コンテンツの種類)
内容記述タイプ Other
内容記述 Article
ISSN
収録物識別子タイプ ISSN
収録物識別子 0037-3826
書誌レコードID
収録物識別子タイプ NCID
収録物識別子 AN00120815
著者版フラグ
値 publisher
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