Trigeminal Neuralgia
Conditions
Keywords
Trigeminal neuralgia, treatment
Brief summary
Clinical randomized study to compare the clinical effectiveness between two modalities of treatment of trigeminal neuralgia namely gamma knife radio surgery and microvascular decompression
Detailed description
A randomized prospective study conducted in The Neurosciences Hospital, Baghdad, from January 2016 to January 2018, patients had either GKR treatment or treated with MVD. The pain evaluated pre- and post-operatively using the Barrow Neurological Institute Pain Intensity scale (BNIPI), visual analog scale (VAS) and Brief Pain Inventory Facial (BPI-Facial) scoring systems. In GKR procedure, the trigeminal root entry zone targeted with a radiation dose of 80 Gy. MVD was performed using retro-sigmoid approach. Follow-up period for two years
Interventions
RADIATIONGamma knife
Microvascular decompression
Sponsors
University of Baghdad
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* primary idiopathic trigeminal neuralgia
Exclusion criteria
* secondary trigeminal neuralgia
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Barrow Neurological Institute Pain Intensity scale (1-5) | Two years | The pain evaluated pre- and post-operatively with the use of analgesic drugs the best is 1 indicates free of pain, the worst is 5. It is dependent score |
| visual analog scale (0-10) | Two years | Pain severity described subjectively by the patient himself pre and post treatment , the 0 is free of pain and worst is 10. It is dependent score |
| Brief Pain Inventory (1-7) | ُTwo years | Assess pain severity as impact to functional activities, the 7 is normal live activity and the worst is 1. It is dependent score |
Outcome results
None listed