Powikłania leczenia radiochirurgicznego

Działania niepożądane związane z leczeniem radiochirurgicznym są rzadko spotykane – najczęściej dochodzi do umiarkowanej hipoestezji w zakresie unerwienia nerwu trójdzielnego (2-6% przypadków)20. Ryzyko wystąpienia zaburzeń czucia związane jest głównie z całkowitą dawką zastosowaną w obrębie włókien nerwu trójdzielnego oraz objętością napromienioną – obserwacja ta jest szczególnie ważna w przypadku ponownego leczenia chorych z nawrotową neuralgią, u których ryzyko wystąpienia powikłań czuciowych wynosi ok. 15-30%21. Wspomniane działania niepożądane z reguły nie prowadzą do znaczącego obniżenia jakości życia leczonych22,23.

Powikłania obejmujące uszkodzenie pnia mózgu, zespół suchego oka oraz znieczulicę bolesną obserwowane są niezmiernie rzadko.

ABSTRACT

The use of Gamma Knife stereotactic radiosurgery in the management of trigeminal neuralgia

Trigeminal neuralgia (TGN) is a disorder that involves very severe paroxysmal and recurrent pain within the innervation of one or several branches of the trigeminal nerve. Stereotactic radiosurgery is characterized by high clinical efficiency in the treatment of TGN patients. This article provides a review of how stereotactic radiosurgery can be used for the management of different types of TGN.

Piśmiennictwo

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