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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
http://hdl.handle.net/10091/1281834fcca48-4800-4c89-8a01-be5e827546d3
名前 / ファイル | ライセンス | アクション |
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Shinshu_med59-2-02.pdf (960.5 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2011-04-26 | |||||
タイトル | ||||||
言語 | ja | |||||
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 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Gamma Knife Radiosurgery for Idiopathic Trigeminal Neuralgia at Aizawa Hospital | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題 | radiosurgery, gamma knife, trigeminal neuralgia 定位放射線治療, ガンマナイフ, 三叉神経痛 |
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資源タイプ | ||||||
資源 | http://purl.org/coar/resource_type/c_6501 | |||||
タイプ | departmental bulletin paper | |||||
著者 |
小山, 徹
× 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 |
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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 | PISSN | |||||
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 | |||||
DOI | ||||||
関連タイプ | isIdenticalTo | |||||
識別子タイプ | DOI | |||||
関連識別子 | https://doi.org/10.11441/shinshumedj.59.75 | |||||
関連名称 | 10.11441/shinshumedj.59.75 | |||||
出版タイプ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 |