{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T23:20:11Z","timestamp":1790896811578,"version":"4.1.0"},"reference-count":23,"publisher":"Universidad del Valle","issue":"4","license":[{"start":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T00:00:00Z","timestamp":1672358400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":["colombiamedica.univalle.edu.co"],"crossmark-restriction":true},"short-container-title":["Colomb Med"],"abstract":"<jats:p>Descripci\u00f3n del caso:\r\nSe presenta un caso de paciente femenino de 37 a\u00f1os que padec\u00eda neuralgia\u00a0del trig\u00e9mino bilateral refractaria, tratada con terapias alternativas, cirug\u00eda de\u00a0descompresi\u00f3n microvascular, analgesia multimodal y terapias de bloqueo sin alivio\u00a0efectivo del dolor.\r\nHallazgos cl\u00ednicos:\r\nParestesias y punzadas tipo disparo de intensidad del dolor 10\/10 en ramas maxilar\u00a0y mandibular bilaterales del nervio trig\u00e9mino, con gatillos nasales e intraorales que\u00a0imposibilitaban comer, torn\u00e1ndose cada vez m\u00e1s severa desde refractariedad a\u00a0descompresi\u00f3n microvascular y carbamazepinas, desencaden\u00e1ndose las punzadas\u00a0incluso en el sue\u00f1o, provocando somnolencia, animo depresivo y aislamiento social.\r\nTratamiento y resultados:\r\nLa paciente fue sometida a valoraci\u00f3n por equipo interdisciplinario de\u00a0neurooncolog\u00eda, donde en concordancia con el an\u00e1lisis de la resonancia magn\u00e9tica\u00a0cerebral y los antecedentes de la paciente, se indic\u00f3 realizaci\u00f3n de radiocirug\u00eda por\u00a0Cyberknife en monofracci\u00f3n sobre trig\u00e9mino izquierdo y posteriormente tratar el\u00a0contralateral. Al ser tratada con radiocirug\u00eda Cyberknife\u00ae la paciente refiere mejora\u00a0absoluta de su dolor desde hace 2 a\u00f1os.\u00a0\r\nRelevancia cl\u00ednica:\r\nLa Radiocirug\u00eda por Cyberknife a\u00fan no es primera l\u00ednea de manejo en neuralgia del\u00a0trig\u00e9mino, sin embargo, deber\u00eda considerarse ya que diversos estudios han logrado\u00a0demostrar un aumento en la calidad de vida de los pacientes y alivio del dolor en\u00a0casos refractarios o graves de dicha patolog\u00eda.<\/jats:p>","DOI":"10.25100\/cm.v53i4.5283","type":"journal-article","created":{"date-parts":[[2023,5,4]],"date-time":"2023-05-04T20:27:31Z","timestamp":1683232051000},"page":"e5005283","update-policy":"https:\/\/doi.org\/10.25100\/cm.crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Radiocirug\u00eda CyberKnife para la neuralgia bilateral del trig\u00e9mino refractaria. 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