@article{oai:sapmed.repo.nii.ac.jp:00008084, author = {北條, 敦史 and 福岡, 誠二 and 瀬尾, 善宣 and 高梨, 正美 and 鷲見, 佳泰 and 中村, 博彦 and 中村, 順一}, issue = {1}, journal = {北海道脳神経疾患研究所医誌 = Journal of Hokkaido Brain Research Foundation}, month = {Aug}, note = {We present two cases with trigeminal neuralgia who underwent gamma knife radiosurgery. Case 1 : 72 years old female suffered from left trigeminal neuralgia. Medical treatment and nerve block were not effective. She underwent gamma knife radiosurgery with a single shot with a maximum dose of 80Gy focused on the root entry zone of the left trigeminal nerve. After the treatment, she showed incomplete pain relief (about 25%). But 6 months after the treatment, she felt intractable pain again, so she underwent microvascular decompression. Case 2: 68 years old female suffered from right trigeminal neuralgia. The effective periods of medical treatment was too short. She underwent gamma knife radiosurgery with a single shot with a maximum dose of 75Gy focused on the same site as Case 1 of the right trigeminal nerve. At 7 months after the treatment, she revealed almost complete pain free and drug free. It has been reported the pain control rate of gamma knife radiosurgery for trigeminal neuralgia is 90-94% and the complication rate is 6-10%. Although the long-term evaluations will be needed, this method seems to be effective and safe treatment for trigeminal neuralgia.}, pages = {13--20}, title = {三叉神経痛に対するガンマナイフ治療(症例報告)}, volume = {10}, year = {1999} }