Primary Trigeminal Neuralgia
Conditions
Interventions
Conventional image-guided surgery group:Conventional image-based surgery group: CT guided puncture of foramen ovaleward.
MMR navigation system-assisted surgery group:MMR group: choose hybrid reality technology to puncture foramen ovale
Sponsors
Shanghai Putuo District Central Hospital (Putuo Hospital Affiliated to Shanghai University of Traditional Chinese Medicine)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. The patient is diagnosed with primary trigeminal neuralgia, meeting the diagnostic criteria of the third edition of the International Classification of Headache Disorders (ICHD-3); 2. Previous oral administration of carbamazepine or oxcarbazepine was effective, but current pain control is inadequate (BNI grade >= ?), or the patient cannot tolerate adverse drug reactions and requests surgical treatment; 3. Preoperative evaluation shows no surgical contraindications, and cranial nerve MRI indicates a close relationship between the affected trigeminal nerve and surrounding blood vessels; 4. The patient fully understands the efficacy, risks and other relevant information of the surgery, agrees to undergo trigeminal radiofrequency ablation, and has signed the informed consent form.
Exclusion criteria
Exclusion criteria: 1. Patients diagnosed with secondary trigeminal neuralgia, with a history of herpes zoster, or accompanied by other pathogenic factors such as multiple sclerosis or intracranial tumors; 2. Patients with recurrent trigeminal neuralgia who have a history of microvascular decompression; 3. Patients who have previously undergone trigeminal ganglion destructive procedures, including radiofrequency ablation and balloon compression; 4. Patients who have previously received gamma knife radiosurgery, with the intracranial segment of the trigeminal nerve exposed to gamma radiation; 5. Patients with cerebrovascular abnormalities, such as intracranial aneurysm, arteriovenous fistula, or cerebrovascular malformation; 6. Patients with or a history of vascular diseases, including varicose veins and deep vein thrombosis; 7. Patients with psychiatric disorders who are unable to cooperate with the surgical procedure; 8. Patients with abnormal coagulation function, PT > 18 seconds; 9. Age < 18 years old.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Puncture time;Total operative time;Number of puncture attempts;Number of CT scans;Radiation dose;Incidence of hematoma; | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative pain relief; | — |
Countries
China
Contacts
Public ContactYongqiang Zhu
Shanghai Putuo District Central Hospital (Putuo Hospital Affiliated to Shanghai University of Traditional Chinese Medicine)
Outcome results
None listed