This book is focused on surgical treatment in trigeminal neuralgia (TN). Though microvascular decompression (MVD) is definite treatment for medically uncontrollable TN, manual focused on the surgical treatments are rare. This book includes overall view of TN, from diagnosis to treatment, more focused on technical pearls on MVD for neurosurgeons. Essential information of anatomy and pathophysiology are provided. Main topics would be indications, surgical considerations, electrophysiological monitoring during MVD surgery and outcomes of surgery. Furthermore, other non-surgical peripheral block…mehr
This book is focused on surgical treatment in trigeminal neuralgia (TN). Though microvascular decompression (MVD) is definite treatment for medically uncontrollable TN, manual focused on the surgical treatments are rare. This book includes overall view of TN, from diagnosis to treatment, more focused on technical pearls on MVD for neurosurgeons. Essential information of anatomy and pathophysiology are provided. Main topics would be indications, surgical considerations, electrophysiological monitoring during MVD surgery and outcomes of surgery. Furthermore, other non-surgical peripheral block techniques, radiosurgery and recent updated techniques will be discussed. The main target of this book will be neurosurgeons, neurosurgical trainees and also other physicians who's in charge of patients suffering from neuralgic pains.
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Autorenporträt
Kwan Park, MD, Ph.D. Through almost 5,000 microvascular decompression surgical cases of his own, Professor Kwan Park has been a noteworthy leader in this field to overcome the cranial nerve rhizopathy including hemifacial spasm and trigeminal neuralgia. He has also been credited with contributions to the improvement of surgical outcome and prevention of postoperative complications by numerous academic publications. Professor Park has been recognized by the World Neurosurgical Federation for Cranial Nerve Disorders (WNFCND) as one of the best microvascular surgeons in the world. He is professor emeritus at Sungkyunkwan University and currently working as a professor of neurosurgery at Konkuk University Medical Center, Seoul, South Korea.
Inhaltsangabe
PART I: BASICS OF TRIGEMINAL NEURALGIA.- 1. Overview of trigeminal neuralgia.- 2. Pathogenesis of trigeminal neuralgia.- 3. Clinical Diagnosis and classifications of trigeminal neuralgia.- 4. Differential diagnosis.- 5. Electrophysiological diagnosis 'Now and Future'.- 6. Microsurgical anatomy around trigeminal nerve.- 7. Essential vascular anatomy for MVD surgery.- 8. MRI evaluation of Trigeminal neuralgia.- 9. Recent advances and future perspective in MRI technique for the trigeminal nerve and related disease.- 10. Medical Treatment in Trigeminal neuralgia.- PART II: MICROVASCULAR DECOMPRESSION.- 1. Anesthetic Management of Microvascular Decompression for Trigeminal Neuralgia.- 2. Intraoperative Monitoring for MVD.- 3. The Principal Surgical Techniques for MVD.- 4. Pitfalls & Pearls for MVD.- 5. Endoscopic microvascular decompression for trigeminal neuralgia.- 6. Transposition Technique vs. Interposition Technique.- 7. CSF leakage and Dura repair.- 8. Operative Complications ofMicrovascular decompression for Trigeminal Neuralgia.- 9. Postoperative Prognosis after Microvascular Decompression for Trigeminal Neuragia.- 10. Redosurgery for Failed MVD.- PART III: ABLATIVE TREATMENT AND RELATED ISSUES.- 1. Nerve block and RF treatment for TGN.- 2. Percutaneous Neurolysis for Trigeminal Neuralgia.- 3. Percutaneous RF rhizotomy.- 4. Percutaneous Balloon Compression.- 5. Sterotactic radiosurgery for trigeminal neuralgia.- 6. Trigeminal Rhizotomy.- 7. Salvage Treatment for Failed MVD.- 8. Neuromodulation for Trigeminal Neuralgia.- 9. Secondary trigeminal neuralgia.- 10. Glossopharyngeal neuralgia.- 11. Geniculate Neuralgia, Otalgia.
PART I: BASICS OF TRIGEMINAL NEURALGIA.- 1. Overview of trigeminal neuralgia.- 2. Pathogenesis of trigeminal neuralgia.- 3. Clinical Diagnosis and classifications of trigeminal neuralgia.- 4. Differential diagnosis.- 5. Electrophysiological diagnosis 'Now and Future'.- 6. Microsurgical anatomy around trigeminal nerve.- 7. Essential vascular anatomy for MVD surgery.- 8. MRI evaluation of Trigeminal neuralgia.- 9. Recent advances and future perspective in MRI technique for the trigeminal nerve and related disease.- 10. Medical Treatment in Trigeminal neuralgia.- PART II: MICROVASCULAR DECOMPRESSION.- 1. Anesthetic Management of Microvascular Decompression for Trigeminal Neuralgia.- 2. Intraoperative Monitoring for MVD.- 3. The Principal Surgical Techniques for MVD.- 4. Pitfalls & Pearls for MVD.- 5. Endoscopic microvascular decompression for trigeminal neuralgia.- 6. Transposition Technique vs. Interposition Technique.- 7. CSF leakage and Dura repair.- 8. Operative Complications ofMicrovascular decompression for Trigeminal Neuralgia.- 9. Postoperative Prognosis after Microvascular Decompression for Trigeminal Neuragia.- 10. Redosurgery for Failed MVD.- PART III: ABLATIVE TREATMENT AND RELATED ISSUES.- 1. Nerve block and RF treatment for TGN.- 2. Percutaneous Neurolysis for Trigeminal Neuralgia.- 3. Percutaneous RF rhizotomy.- 4. Percutaneous Balloon Compression.- 5. Sterotactic radiosurgery for trigeminal neuralgia.- 6. Trigeminal Rhizotomy.- 7. Salvage Treatment for Failed MVD.- 8. Neuromodulation for Trigeminal Neuralgia.- 9. Secondary trigeminal neuralgia.- 10. Glossopharyngeal neuralgia.- 11. Geniculate Neuralgia, Otalgia.
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