Historical aspects of the problem of treatment of trigeminal neuralgia and the role of neurosurgical methods in its solution (literature review)

The trigeminal nerve is a mixed fifth cranial nerve, consisting of motor and sensory components. The sensitive component receives somesthetic information from the skin and mucous membranes of the face into the central nervous system, and the motor component is responsible for the innervation of chew...

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Autores principales:	A. N. Zhurkin, A. V. Semenov, V. A. Sorokovikov, N. V. Bartul
Formato:	article
Lenguaje:	RU
Publicado:	Scientific Сentre for Family Health and Human Reproduction Problems 2021
Materias:	trigeminal neuralgia microvascular decompression surgery gamma knife radiosurgery radiofrequency catheter ablation tic douloureux trigeminal nerve Science Q
Acceso en línea:	https://doaj.org/article/c154947bb674426ca75bd858ab2d5451
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spelling	oai:doaj.org-article:c154947bb674426ca75bd858ab2d54512021-11-23T06:14:46ZHistorical aspects of the problem of treatment of trigeminal neuralgia and the role of neurosurgical methods in its solution (literature review)2541-94202587-959610.29413/ABS.2021-6.4.11https://doaj.org/article/c154947bb674426ca75bd858ab2d54512021-10-01T00:00:00Zhttps://www.actabiomedica.ru/jour/article/view/2980https://doaj.org/toc/2541-9420https://doaj.org/toc/2587-9596The trigeminal nerve is a mixed fifth cranial nerve, consisting of motor and sensory components. The sensitive component receives somesthetic information from the skin and mucous membranes of the face into the central nervous system, and the motor component is responsible for the innervation of chewing muscles. One of the manifestations of the pathology of the trigeminal nerve is pain syndrome. Trigeminal neuralgia occupies the main place among neurogenic pain syndrome in the face, is characterized by а severe course and the absence of sufficiently effective methods of treatment. According to the World Health Organization (WHO), the prevalence of trigeminal neuralgia in different countries is 2–5 cases per 100 thousand people per year. Trigeminal neuralgia is classified into 3 etiologic categories. Idiopathic trigeminal neuralgia occurs without apparent cause. Classical trigeminal neuralgia is caused by vascular compression of the trigeminal nerve root. Secondary trigeminal neuralgia is the consequence of a major neurologic disease, e. g., a tumor of the cеrеbеllоpоntine angle or multiple sclerosis. Today, there are many different options for the surgical treatment of trigeminal neuralgia. microvascular decompression of the root, radiosurgical destruction of the Gasser’s node, radiofrequency destruction, glycerol rhizotomy, balloon microcompression are considered the main effective and proven surgical methods for treating trigeminal neuralgia. But the questions of diagnosing the cause of the disease and choosing an adequate surgical method for treating therapeutically resistant trigeminal neuralgia for a particular patient remain open. The development of surgical methods begins from ancient times to the present day. The main stages in the development of neurosurgical treatment methods are presented. The following surgical techniques are described: open method – microvascular decompression, and closed percutaneous destructive methods – radiofrequency destruction, glycerol rhizotomy, balloon compression, radiosurgery, cryodestruction, laser destruction, botulinum toxin injections.A. N. ZhurkinA. V. SemenovV. A. SorokovikovN. V. BartulScientific Сentre for Family Health and Human Reproduction Problemsarticletrigeminal neuralgiamicrovascular decompression surgerygamma knife radiosurgeryradiofrequency catheter ablationtic douloureuxtrigeminal nerveScienceQRUActa Biomedica Scientifica, Vol 6, Iss 4, Pp 123-136 (2021)
institution	DOAJ
collection	DOAJ
language	RU
topic	trigeminal neuralgia microvascular decompression surgery gamma knife radiosurgery radiofrequency catheter ablation tic douloureux trigeminal nerve Science Q
spellingShingle	trigeminal neuralgia microvascular decompression surgery gamma knife radiosurgery radiofrequency catheter ablation tic douloureux trigeminal nerve Science Q A. N. Zhurkin A. V. Semenov V. A. Sorokovikov N. V. Bartul Historical aspects of the problem of treatment of trigeminal neuralgia and the role of neurosurgical methods in its solution (literature review)
description	The trigeminal nerve is a mixed fifth cranial nerve, consisting of motor and sensory components. The sensitive component receives somesthetic information from the skin and mucous membranes of the face into the central nervous system, and the motor component is responsible for the innervation of chewing muscles. One of the manifestations of the pathology of the trigeminal nerve is pain syndrome. Trigeminal neuralgia occupies the main place among neurogenic pain syndrome in the face, is characterized by а severe course and the absence of sufficiently effective methods of treatment. According to the World Health Organization (WHO), the prevalence of trigeminal neuralgia in different countries is 2–5 cases per 100 thousand people per year. Trigeminal neuralgia is classified into 3 etiologic categories. Idiopathic trigeminal neuralgia occurs without apparent cause. Classical trigeminal neuralgia is caused by vascular compression of the trigeminal nerve root. Secondary trigeminal neuralgia is the consequence of a major neurologic disease, e. g., a tumor of the cеrеbеllоpоntine angle or multiple sclerosis. Today, there are many different options for the surgical treatment of trigeminal neuralgia. microvascular decompression of the root, radiosurgical destruction of the Gasser’s node, radiofrequency destruction, glycerol rhizotomy, balloon microcompression are considered the main effective and proven surgical methods for treating trigeminal neuralgia. But the questions of diagnosing the cause of the disease and choosing an adequate surgical method for treating therapeutically resistant trigeminal neuralgia for a particular patient remain open. The development of surgical methods begins from ancient times to the present day. The main stages in the development of neurosurgical treatment methods are presented. The following surgical techniques are described: open method – microvascular decompression, and closed percutaneous destructive methods – radiofrequency destruction, glycerol rhizotomy, balloon compression, radiosurgery, cryodestruction, laser destruction, botulinum toxin injections.
format	article
author	A. N. Zhurkin A. V. Semenov V. A. Sorokovikov N. V. Bartul
author_facet	A. N. Zhurkin A. V. Semenov V. A. Sorokovikov N. V. Bartul
author_sort	A. N. Zhurkin
title	Historical aspects of the problem of treatment of trigeminal neuralgia and the role of neurosurgical methods in its solution (literature review)
title_short	Historical aspects of the problem of treatment of trigeminal neuralgia and the role of neurosurgical methods in its solution (literature review)
title_full	Historical aspects of the problem of treatment of trigeminal neuralgia and the role of neurosurgical methods in its solution (literature review)
title_fullStr	Historical aspects of the problem of treatment of trigeminal neuralgia and the role of neurosurgical methods in its solution (literature review)
title_full_unstemmed	Historical aspects of the problem of treatment of trigeminal neuralgia and the role of neurosurgical methods in its solution (literature review)
title_sort	historical aspects of the problem of treatment of trigeminal neuralgia and the role of neurosurgical methods in its solution (literature review)
publisher	Scientific Сentre for Family Health and Human Reproduction Problems
publishDate	2021
url	https://doaj.org/article/c154947bb674426ca75bd858ab2d5451
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Historical aspects of the problem of treatment of trigeminal neuralgia and the role of neurosurgical methods in its solution (literature review)

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