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        정위적 삼차신경절 고주파열응고술

        신근만(Keun Man Shin),신삼철(Sam Chyul Shin),조용 대한통증학회 1996 The Korean Journal of Pain Vol.9 No.1

        When medical therapy fail to relieve pain at tolerable level for patients confirmed with tri- geminal neuralgia, presence of mass lesion excluded, surgery is indicated. Innumerable surgical strategies have been attempted for the treatment of trigeminal neuralgia but only four have proven appropriate: stereotactic radiofrequency gasserian ganglionotomy, ­ percutaneous glycerol gangliolysis, ® percutaneous microcompression, ? microvascular decompression. Radiofrequency thermocoagulation of the gasserian ganglion stems from the efforts of Sweet. This technique is the surgical treatment of choice around the world for surgical treatment for trigeminal neuralgia. Since 1986, over 14,000 cases have been reported utilizing this technique. To improve the treatment method further, an electrode with a flexible curved tip has been de- veloped for easier and more precise electrode placement and lesion produetion during the thermocoagulation of gasserian ganglion. This operation was performed recently on three patients at Hallym University Hospital, using a curved tip electrode. Complete relief of pain was achieved for all patient. However, some complications were noted.

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