2018 AANS Annual Scientific Meeting-710. Long-Term Pain Relief Rates After Failed Stereotactic Radiosurgery for Idiopathic Trigeminal Neuralgia: A Prospective Comparison of First-time Microvascular Decompression and Repeat Stereotactic Radiosurgery

710. Long-Term Pain Relief Rates After Failed Stereotactic Radiosurgery for Idiopathic Trigeminal Neuralgia: A Prospective Comparison of First-time Microvascular Decompression and Repeat Stereotactic Radiosurgery

Video Transcription

Video Summary

In this video, Kunal Raghur, a resident at UCSF, presents their research on the long-term pain outcomes for recurrent idiopathic trigeminal neuralgia after stereotactic radiosurgery (SRS). The study compares the efficacy of microvascular decompression and SRS as retreatment options for patients who experienced pain recurrence after initial surgery. The research used a database to compare pain control rates and identify predictors of pain control in each group. The study found that microvascular decompression had better pain control outcomes and a longer duration of pain freedom compared to repeat SRS. The presence of sensory changes after repeat SRS predicted longer pain relief. Overall, the study suggests microvascular decompression as a favorable retreatment option for patients who failed initial SRS.

Asset Caption

Kunal P. Raygor, MD

Keywords

Kunal Raghur

UCSF

trigeminal neuralgia

microvascular decompression

pain control