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  2. THE ROLE OF GAMMA KNIFE RADIOSURGERY IN CONFERRING THE INFLAMMATORY HYPOTHESIS OF TRIGENMINAL NEURALGIA

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THE ROLE OF GAMMA KNIFE RADIOSURGERY IN CONFERRING THE INFLAMMATORY HYPOTHESIS OF TRIGENMINAL NEURALGIA

    Authors

    • Ahmed Al Atraqchi 1
    • eman A shakir 2
    • zainab nazar 3
    • saba fawzi 3

    1 Neurosciences hospital

    2 / Al-Mustansiriya College Of Medicine/ Baghdad/Iraq.

    3 / Al-Mustansiriyah College Of Medicine/ Baghdad/Iraq.

,

Document Type : Research Paper

10.52573/ipmj.2024.137826
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Abstract

Abstract
Background: Gamma knife radiosurgery, a bloodless surgery used to treat a variety of intracranial pathologies and is regarded as the first line for treating trigeminal neuralgia, since it has the property of minimal invasiveness and risk.
Aim: In this report, we estimate the effect of gamma knife radiosurgery on certain inflammatory markers in patients with TN.

Materials and Methods:
29 patients underwent gamma knife radiosurgery for TN between September 2018 to March 2019. Two readings of inflammatory biomarkers were recorded, the first one just prior to GNRS while the second within one month after it.

Statistical Analysis: Statistical analysis was performed using the Microsoft Excel Statistical Package
Results: the measured data for each gender is considered separately since TN is more common among women than men. significant changes were observed regarding PDW and Lymphocytes level post radiosurgery in female group (n=19) but not in male

Conclusion: the significant decrement in PDW and lymphocyte cell percentage post radiosurgery supports the inflammatory hypothesis in trigeminal neuralgia

Results: the measured data for each gender is considered separately since TN is more common among women than men. significant changes were observed regarding PDW and Lymphocytes level post radiosurgery in female group (n=19) but not in male

Conclusion: the significant decrement in PDW and lymphocyte cell percentage post radiosurgery supports the inflammatory hypothesis in trigeminal neuralgia
Keywords
Trigeminal neuralgia, gamma knife, PDW

Keywords

  • tigeminal neuralgia,,
  • ,،,؛PDW,,
  • ,،,؛gamma knife

Main Subjects

  • Neurosurgery
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References
  1. Chen JC, Girvigian MR. Stereotactic radiosurgery: Instrumentation and theoretical aspects. Perm J 2005; 9:23-6.
  2. Balagamwala EH, Chao AB, Suh JH. Principles of radiobiology of stereotactic radiosurgery and clinical applications in the central nervous system. Technol Cancer Res Treat. 2012;11:3–13.
  3. Cruccu G, Truini A. Refractory trigeminalneuralgia. Non-surgical treatment options. CNS Drugs 2013;27:91-96.
  4. Nurmikko TJ, Eldridge PR. Trigeminal neuralgia—pathophysiology, diagnosis and current treatment. Br J Anaesth 2001;87:117-32.
  5. van Hecke O, Austin SK, Khan RA, et al. Neuropathic pain in the general population: a systematic review of epidemiological studies. Pain 2014;155:654-62.
  6. Loh H, Ling S, Shanmuhasuntharam P, Zain R, Yeo J and Khoo S, “Trigeminal neuralgia. A retrospective survey of a sample of patients in Singapore and Malaysia,” Australian Dental Journal 1998;439:188–91.
  7. Maarbjerg S, Gozalov A, Olesen J, Bendtsen L. Trigeminal neuralgia: a prospective systematic study of clinical characteristics in 158 patients. Headache 2014;54:1574–82.
  8. Di Stefano G, La Cesa S, Truini A, Cruccu G. Natural history and outcome of 200 outpatients with classical trigeminal neuralgia treated with carbamazepine or oxcarbazepine in a tertiary centre for neuropathic pain. J Headache Pain 2014;15:34–39.
  9. Siqueira SR, Teixeira MJ, Siqueira JT. Clinical characteristics of patients with trigeminal neuralgia referred to neurosurgery. Eur J Dent. 2009;3:207-12.

 

  1. Herter JM, Rossaint J, Zarbock A. Platelets in inflammation and immunity. J Thromb Haemost 2014; 12: 1764-75.1

 

  1. Erdogan D, Icli A, Aksoy F, Akcay S, Ozaydin M, Ersoy I, et al. Relationships of different blood pressure categories to indices of inflammation and platelet activity in sustained hypertensive patients with uncontrolled office blood pressure. Chronobiol Int. 2013;30:973-80.

 

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Iraqi Postgraduate Medical Journal
Volume 23, Issue 3
July 2024
Page 292-295
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  • Article View: 244
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APA

Al Atraqchi, A., A shakir, E., nazar, Z., & fawzi, S. (2024). THE ROLE OF GAMMA KNIFE RADIOSURGERY IN CONFERRING THE INFLAMMATORY HYPOTHESIS OF TRIGENMINAL NEURALGIA. Iraqi Postgraduate Medical Journal, 23(3), 292-295. doi: 10.52573/ipmj.2024.137826

MLA

Ahmed Al Atraqchi; eman A shakir; zainab nazar; saba fawzi. "THE ROLE OF GAMMA KNIFE RADIOSURGERY IN CONFERRING THE INFLAMMATORY HYPOTHESIS OF TRIGENMINAL NEURALGIA". Iraqi Postgraduate Medical Journal, 23, 3, 2024, 292-295. doi: 10.52573/ipmj.2024.137826

HARVARD

Al Atraqchi, A., A shakir, E., nazar, Z., fawzi, S. (2024). 'THE ROLE OF GAMMA KNIFE RADIOSURGERY IN CONFERRING THE INFLAMMATORY HYPOTHESIS OF TRIGENMINAL NEURALGIA', Iraqi Postgraduate Medical Journal, 23(3), pp. 292-295. doi: 10.52573/ipmj.2024.137826

VANCOUVER

Al Atraqchi, A., A shakir, E., nazar, Z., fawzi, S. THE ROLE OF GAMMA KNIFE RADIOSURGERY IN CONFERRING THE INFLAMMATORY HYPOTHESIS OF TRIGENMINAL NEURALGIA. Iraqi Postgraduate Medical Journal, 2024; 23(3): 292-295. doi: 10.52573/ipmj.2024.137826

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