{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T04:31:51Z","timestamp":1791433911082,"version":"4.3.3"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T00:00:00Z","timestamp":1715299200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Acta Neurochir"],"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>Based on a personal experience of 4200 surgeries, radiofrequency thermocoagulation is useful lesional treatment for those trigeminal neuralgias (TNs) not amenable to microvascular decompression (idiopathic or secondary TNs). Introduced through the foramen ovale, behind the trigemnial ganglion in the triangular plexus, the needle is navigated by radiology and neurophysiological testing to target the retrogasserian fibers corresponding to the trigger zone. Heating to 55\u201375\u00a0\u00b0C can achieve hypoesthesia without anaesthesia dolorosa if properly controlled. Depth of anaesthesia varies dynamically sedation for cannulation and lesioning, and awareness during neurophysiologic navigation. Proper technique ensures long-lasting results in more than 75% of patients.<\/jats:p>","DOI":"10.1007\/s00701-024-06074-2","type":"journal-article","created":{"date-parts":[[2024,5,10]],"date-time":"2024-05-10T05:01:51Z","timestamp":1715317311000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Retrogasserian trigeminal radiofrequency-thermorhizotmoy for trigeminal neuralgia"],"prefix":"10.1007","volume":"166","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2073-9123","authenticated-orcid":false,"given":"A.","family":"Brinzeu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"Sindou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,5,10]]},"reference":[{"issue":"6","key":"6074_CR1","doi-asserted-by":"publisher","first-page":"1043","DOI":"10.1007\/s00701-010-0604-y","volume":"152","author":"JE Alvernia","year":"2010","unstructured":"Alvernia JE, Sindou MP, Dang ND, Maley JH, Mertens P (2010) Percutaneous approach to the foramen ovale: an anatomical study of the extracranial trajectory with the incorrect trajectories to be avoided. Acta Neurochir (Wien) 152(6):1043\u20131053. https:\/\/doi.org\/10.1007\/s00701-010-0604-y","journal-title":"Acta Neurochir (Wien)"},{"issue":"6","key":"6074_CR2","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1007\/s00276-019-02217-8","volume":"41","author":"F Bernard","year":"2019","unstructured":"Bernard F, Mercier P, Sindou M (2019) Morphological and functional anatomy of the trigeminal triangular plexus as an anatomical entity: a systematic review. Surg Radiol Anat 41(6):625\u2013637. https:\/\/doi.org\/10.1007\/s00276-019-02217-8","journal-title":"Surg Radiol Anat"},{"issue":"2","key":"6074_CR3","doi-asserted-by":"publisher","first-page":"220","DOI":"10.1212\/WNL.0000000000002840","volume":"87","author":"G Cruccu","year":"2016","unstructured":"Cruccu G, Finnerup NB, Jensen TS, Scholz J, Sindou M, Svensson P, Treede RD, Zakrzewska JM, Nurmikko T (2016) Trigeminal neuralgia: New classification and diagnostic grading for practice and research. Neurology. 87(2):220\u20138. https:\/\/doi.org\/10.1212\/WNL.0000000000002840","journal-title":"Neurology."},{"key":"6074_CR4","first-page":"627","volume":"100","author":"F Hartel","year":"1912","unstructured":"Hartel F (1912) Die Leitungsanasthese und Injecktionbehandlung des Ganglioni gasseri und der Trigeminusstamme Arch Klin Chir 100:627\u2013638","journal-title":"Die Leitungsanasthese und Injecktionbehandlung des Ganglioni gasseri und der Trigeminusstamme Arch Klin Chir"},{"key":"6074_CR5","first-page":"581","volume":"176","author":"M Kirschner","year":"1933","unstructured":"Kirschner M (1933) Die Punktionstechnik und die Elektrokoagulation des Ganglion Gasseri. Arch Klin Chir. 176:581\u2013620","journal-title":"Arch Klin Chir."},{"issue":"1\u20134","key":"6074_CR6","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1159\/000029768","volume":"73","author":"MP Sindou","year":"1999","unstructured":"Sindou MP (1999) Neurophysiological navigation in the trigeminal nerve: use of masticatory responses and facial motor responses evoked by electrical stimulationof the trigeminal rootlets for RF-thermorhizotomy guidance. Stereotact Funct Neurosurg 73(1\u20134):117\u2013121. https:\/\/doi.org\/10.1159\/000029768","journal-title":"Stereotact Funct Neurosurg"},{"issue":"3","key":"6074_CR7","first-page":"166","volume":"25","author":"M Sindou","year":"1979","unstructured":"Sindou M, Keravel Y (1979) Thermocoagulation percutan\u00e9e du trijumeau dans le traitement de la n\u00e9vralgie faciale essentielle. R\u00e9sultats en fonction du si\u00e8ge de la thermol\u00e9sion [Trigeminal neuralgia. Percutaneous thermocoagulation of the trigeminal nerve (author\u2019s transl)]. Neurochirurgie 25(3):166\u201372","journal-title":"Neurochirurgie"},{"issue":"1","key":"6074_CR8","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1007\/BF01400654","volume":"128","author":"M Sindou","year":"1994","unstructured":"Sindou M, Fobe JL, Berthier E, Vial C (1994) Facial motor responses evoked by direct electrical stimulation of the trigeminal root. Localizing value for radiofrequency thermorhizotomy. Acta Neurochir (Wien) 128(1):57\u201367. https:\/\/doi.org\/10.1007\/BF01400654","journal-title":"Acta Neurochir (Wien)"},{"issue":"2","key":"6074_CR9","doi-asserted-by":"publisher","first-page":"143","DOI":"10.3171\/jns.1974.40.2.0143","volume":"40","author":"WH Sweet","year":"1974","unstructured":"Sweet WH, Wepsic JG (1974) Controlled thermocoagulation of trigeminal ganglion and rootlets for differential destruction of pain fibers. 1. Trigeminal neuralgia. J Neurosurg 40(2):143\u201356. https:\/\/doi.org\/10.3171\/jns.1974.40.2.0143","journal-title":"J Neurosurg"},{"issue":"1 Suppl 1","key":"6074_CR10","doi-asserted-by":"publisher","first-page":"ONS129","DOI":"10.1227\/01.neu.0000335027.00650.83","volume":"63","author":"M Tatli","year":"2008","unstructured":"Tatli M, Sindou M (2008) Anatomoradiological landmarks for accuracy of radiofrequency thermorhizotomy in the treatment of trigeminal neuralgia. Neurosurgery 63(1 Suppl 1):ONS129-37. https:\/\/doi.org\/10.1227\/01.neu.0000335027.00650.83","journal-title":"Neurosurgery"}],"container-title":["Acta Neurochirurgica"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-024-06074-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00701-024-06074-2\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00701-024-06074-2.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T20:55:12Z","timestamp":1740171312000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00701-024-06074-2"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5,10]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["6074"],"URL":"https:\/\/doi.org\/10.1007\/s00701-024-06074-2","relation":{},"ISSN":["0942-0940"],"issn-type":[{"value":"0942-0940","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,5,10]]},"assertion":[{"value":"27 February 2024","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"4 April 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"10 May 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not aplicable \u2013 patient regular care.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval"}},{"value":"All patients have given full informed consent for the surgeries in their presented form.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent to participate"}},{"value":"All patients have given full informed consent for publication of the date pertaining to their treatment including video recordings.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no conflicts of interest relevant to this work.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflicts of interest"}},{"value":"The authors declare they have no competing interests pertaining to this work.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"209"}}