Trigeminal Neuralgia
Conditions
Keywords
Trigeminal Neuralgia, Radiosurgery, LINAC, Pain relief, Hypesthesia
Brief summary
This study aims to evaluate the outcome of patient treated by radiosurgery on LINAC with high dose rate for classical trigeminal neuralgia
Detailed description
This retrospective and prospective case-series hospital-based study will be conducted in all patients with trigeminal neuralgia treated by radiosurgery on LINAC at the Centre Hospitalier Princesse Grace from april 2018 to january 2028. Patients will be treated with frameless technic and receive 90 Gy delivered with high dose rate on the intra cisternal portion of the trigeminal nerve.
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Classical trigeminal neuralgia according the International Classification of Headache Disorders * Trigeminal neuralgia resistant to the maximum tolerated medical therapy, with pain intensity according to the Barrow Neurological Institute (BNI) score IV or V. * Patients aged \> 18
Exclusion criteria
* Patients suffering from secondary Trigeminal neuralgia (tumour in the cerebellopontine angle, arteriovenous malformation or multiple sclerosis) * Previous history of radiosurgery procedure
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain relief | 24 months | Barrow Neurological Institute pain intensity scale - score I to V - V is the worst Barrow Neurological Institute (BNI) pain intensity scale Barrow Neurological Institute (BNI) pain intensity scale |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Toxicity of radiosurgery | 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 years | Common Terminology Criteria for Adverse Events version 5.0 - grade 1 to 5 - 5 is the worst |
| Variation of quality of life | 1, 2, 3, 4, 5, 6, 7, 8, 9 and 10 years | Short Form 36 Health Survey - score 0 to 100 - 0 is the worst |
Countries
Monaco