The Korean Journal of Pain
- 제9권1호
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- Pages.183-186
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- 1996
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- 2005-9159(pISSN)
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- 2093-0569(eISSN)
정위적 삼차신경절 고주파열응고술
Stereotactic Radiofrequency Gasserian Ganglionotomy
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신근만
(한림대학교 의과대학 마취과학교실 통증치료실) ;
- 신삼철 (한림대학교 의과대학 마취과학교실 통증치료실) ;
- 조용노 (한림대학교 의과대학 마취과학교실 통증치료실) ;
- 임소영 (한림대학교 의과대학 마취과학교실 통증치료실) ;
- 홍순용 (한림대학교 의과대학 마취과학교실 통증치료실) ;
- 최영룡 (한림대학교 의과대학 마취과학교실 통증치료실)
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Shin, Keun-Man
(Pain Clinic, Department of Anesthesiology, Hallym University Medical College) ;
- Shin, Sam-Chyul (Pain Clinic, Department of Anesthesiology, Hallym University Medical College) ;
- Cho, Yong-Roew (Pain Clinic, Department of Anesthesiology, Hallym University Medical College) ;
- Lim, So-Young (Pain Clinic, Department of Anesthesiology, Hallym University Medical College) ;
- Hong, Soon-Yong (Pain Clinic, Department of Anesthesiology, Hallym University Medical College) ;
- Choi, Young-Ryong (Pain Clinic, Department of Anesthesiology, Hallym University Medical College)
- 발행 : 1996.06.01
초록
When medical therapy fail to relieve pain at tolerable level for patients confirmed with trigeminal neuralgia, presence of mass lesion excluded, surgery is indicated. Innumerable surgical strategies have been attempted for the treatment of trigeminal neuralgia but only four have proven appropriate: (1)stereotactic radiofrequency gasserian ganglionotomy, (2) percutaneous glycerol gangliolysis, (3) percutaneous microcompression, (4) microvascular decompression. Radiofrequency thermocoagulation of the gasserian ganglion stems from the efforts of Sweet. This technique is the surgical treatment of choice around the world for surgical treatment for trigeminal neuralgia. Since 1986, over 14,000 cases have been reported utilizing this technique. To improve the treatment method further, an electrode with a flexible curved tip has been developed for easier and more precise electrode placement and lesion production during the thermocoagulation of gasserian ganglion. This operation was performed recently on three patients at Hallym University Hospital. using a curved tip electrode. Complete relief of pain was achieved for all patient. However, some complications were noted.