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NEUROLOGY 2004;62:660-662
© 2004 American Academy of Neurology
Brief Communications

Noninvasive linear accelerator radiosurgery as the primary treatment for trigeminal neuralgia

L. Frighetto, MD, A. A. De Salles, MD PhD, Z. A. Smith, BA, B. Goss, MD, M. Selch, MD and T. Solberg, PhD

From the Division of Neurosurgery (Drs. Frighetto and De Salles, Z.A. Smith) and Department of Radiation Oncology (Drs. Goss, Selch, and Solberg), School of Medicine, University of California, Los Angeles, CA.

Address correspondence and reprint requests to Dr. Antonio A.F. De Salles, 200 UCLA Medical Plaza, Suite 504, Los Angeles, CA 90095-7182; e-mail: adesalles{at}mednet.ucla.edu

The application of a dedicated linear accelerator (DLINAC) as a noninvasive surgical treatment for trigeminal neuralgia has not yet been demonstrated. This work evaluates the outcome and indications of 22 patients submitted to DLINAC radiosurgery as a primary treatment for essential trigeminal neuralgia. At last follow-up evaluation, 21 patients (95.5%) had sustained significant pain relief. DLINAC radiosurgery is safe and effective as a primary noninvasive surgical treatment for selected patients with essential trigeminal neuralgia.

Received January 20, 2003. Accepted in final form October 19, 2003.