Review Article

Clinical Outcomes of Gamma Knife Radiosurgery in the Treatment of Patients with Trigeminal Neuralgia

Table 2

Clinical outcomes of patients undergoing multiple Gamma Knife treatments.

Author (year)Clinical evaluation methodGKRS max retreatment dose (Gy)Study endpointsResults

BNI score I47.6%
Gellner et al. [32] (2008)BNIMean: 74.3BNI score II28.6%
BNI score III23.8%

BNI score I34%
BNI score II17%
BNI score IIIa6%
Huang et al. [29] (2010)BNIMean: 49BNI score IIIb8%
1-y pain control rate74%
2-y pain control rate71%
3-y pain control rate66%
Facial numbness17%

Excellent pain relief46%
Good pain relief24%
Aubuchon et al. [31] (2010)EGFPMean: 84.4Fair pain relief14%
Poor pain relief16%
Trigeminal nerve dysfunction57%

Excellent pain relief43%
Huang et al. [28] (2006)EGFPMean: 52Good pain relief18%
Fair pain relief7%
Facial numbness36%

Marseille class I-II43.5%
Kimball et al. [27] (2010)Marseille70Marseille class III-IV13%
Marseille class V43.5%
Facial numbness46%

BNI: Barrow Neurological Institute; EGFP: excellent-good-fair-poor; GKRS: Gamma Knife radiosurgery.