Presentado en el marco del NASB Meeting 2015 por el grupo de experto de Latinoamérica de Neurología Segura y publicado en el Segura M, et al. A New Clinical Classification of Trigeminal Neuralgia. J Neurol Surg B Skull Base 2015; 76 - P049 Journal of Neurological Surgery, Part B: Skull Base DOI: 10.1055/s-0035-1546677
181 cirugías del trigémino en el 2015 por el grupo de expertos en Latinoamérica
Neurología Segura
2. • Dinastía Han (220 a.c): El médico Huá To
• Avicena (siglo X): “Tortura facial”
• John Lock (1677): Primera descripción del Tic Doloroso
• Nicolaus Andre de Versalles (1756): “Tic doulourex”
• Jhon Fothergill (1776): Entidad cliníca distinta
• Ludwig (1861): Dolor supraciliaris acutísimus periodicus
• Albinus y Galeno: Neurectomías
• Gardnery Mikos (1950): Descompresión vascular como tratamiento
• Rushton y Olafson (1965): Criterios clínicos clásicos de diagnóstico NT
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3. 2002 - Primer caso NT/DMV (7 horas)
- Hospital de Alta Especialidad de la Mujer Morelia (12 casos)
2003 - Hospítal Star Médica Morelia
2010 - Primer caso internacional originaria de Bogotá, Colombia
- Humanitas Medical Group
- Hospital San Angel Inn
2015 - 181 cirugías del trigémino / 774 casos atendidos (80 min)
- Hospital Angeles Morelia
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Publicado en 2015
19. www.neurologiasegura.net
Chronic Stimulation of the Gasserian Ganglion in patients with Trigeminal Neuropathy: A Case Series
Jean-Pierre Van Buyten & Caroline Hens
Abstract:
Between 2009 and 2011 we implanted 8 patients with refractory Trigeminal Neuropathic Pain (TNP) with a custom, tined, percutaneous,
tripolar electrode to stimulate the Gasserian Ganglion (TGS). The electrode was positioned with the help of a three dimensional (3D), real-
time, tip-tracked, electromagnetic (EM) guidance system. This technique reduced operating time, and augmented electrode targeting and
procedural safety. Six of the eight patients had pain relief of at least 30%, all significantly tapered medication-intake (4 stopped opiods
completely), two had minor dislocations, and none suffered any major complication. This EM stimulation technique is a valuable,
reversible, minimally invasive method to treat refractory TNP.
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