{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T10:31:45Z","timestamp":1770114705474,"version":"3.49.0"},"reference-count":52,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"24","license":[{"start":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T00:00:00Z","timestamp":1750032000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cosmet Laser Ther"],"published-print":{"date-parts":[[2025,6,16]]},"abstract":"\n BACKGROUND<\/jats:title>\n Trigeminal neuralgia (TN) is a disorder of chronic facial pain and can be treated by radiofrequency ablation (RFA) rhizotomy of the trigeminal nerve. The use of robotic systems like the Globus ExcelsiusGPS may enhance precision and safety in intracranial procedures.<\/jats:p>\n <\/jats:sec>\n \n OBSERVATIONS<\/jats:title>\n A 58-year-old male with a history of TN unresponsive to multiple treatments, including microvascular decompression (MVD) and Gamma Knife radiosurgery, underwent robot-assisted RFA rhizotomy. The Globus ExcelsiusGPS robot was used to guide a needle precisely to the gasserian ganglion through the foramen ovale. The needle\u2019s trajectory was confirmed via intraoperative CT, and RFA was performed at 70\u00b0C for 90 seconds. The procedure was well tolerated with no complications. The patient reported immediate improvement in left-sided facial pain postoperatively and was discharged the following day. At the 2-week follow-up, the patient showed resolution of preoperative symptoms. The successful implementation of robot-assisted RFA rhizotomy using the Globus ExcelsiusGPS robot for TN resulted in significant pain relief and minimal complications.<\/jats:p>\n <\/jats:sec>\n \n LESSONS<\/jats:title>\n This report demonstrates the potential of robot-assisted RFA in improving surgical precision, control, and patient outcomes in TN treatment. Further investigation into the long-term efficacy and safety of this innovative approach is warranted to fully understand its benefits and accuracy.<\/jats:p>\n \n https:\/\/thejns.org\/doi\/10.3171\/CASE2510<\/jats:ext-link>\n <\/jats:p>\n <\/jats:sec>","DOI":"10.3171\/case2510","type":"journal-article","created":{"date-parts":[[2025,6,16]],"date-time":"2025-06-16T20:02:18Z","timestamp":1750104138000},"source":"Crossref","is-referenced-by-count":0,"title":["Robot-assisted trigeminal nerve rhizotomy with radiofrequency ablation using Globus ExcelsiusGPS: illustrative case"],"prefix":"10.3171","volume":"9","author":[{"given":"Joseph","family":"Rajasekaran","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Drexel University College of Medicine, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajan","family":"Thakore","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Northwestern University, Evanston, Illinois"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohaid","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hael","family":"Abdulrazeq","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5735-2654","authenticated-orcid":true,"given":"Carlin","family":"Chuck","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deus","family":"Cielo","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clark C.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prakash","family":"Sampath","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, The Warren Alpert Medical School of Brown University, Providence, Rhode Island"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"bib1","series-title":"BMJ","first-page":"h1238","article-title":"Trigeminal neuralgia","volume":"350","author":"Zakrzewska","year":"2015","unstructured":"Zakrzewska JMLinskey ME.Trigeminal neuralgia. 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Expert Rev Neurother. 2009;9(3):323-329."},{"issue":"7","key":"bib5","series-title":"Cephalalgia","first-page":"648","article-title":"Trigeminal neuralgia\u2014diagnosis and treatment","volume":"37","author":"Maarbjerg","year":"2017","unstructured":"Maarbjerg SDi Stefano GBendtsen LCruccu G.Trigeminal neuralgia\u2014diagnosis and treatment. Cephalalgia. 2017;37(7):648-657."},{"issue":"12","key":"bib6","series-title":"Brain","first-page":"2347","article-title":"Trigeminal neuralgia: pathology and pathogenesis","volume":"124","author":"Love","year":"2001","unstructured":"Love SCoakham HB.Trigeminal neuralgia: pathology and pathogenesis. Brain. 2001;124(12):2347-2360."},{"issue":"3","key":"bib7","series-title":"J Neurol Neurosurg Psychiatry","first-page":"253","article-title":"Association between trigeminal neuralgia and multiple sclerosis: role of magnetic resonance imaging","volume":"59","author":"Meaney","year":"1995","unstructured":"Meaney JFWatt JWEldridge PRWhitehouse GHWells JCMiles JB.Association between trigeminal neuralgia and multiple sclerosis: role of magnetic resonance imaging. J Neurol Neurosurg Psychiatry. 1995;59(3):253-259."},{"issue":"5","key":"bib8","series-title":"Oral Surg Oral Med Oral Pathol Oral Radiol Endod","first-page":"527","article-title":"Trigeminal neuralgia","volume":"100","author":"Scrivani","year":"2005","unstructured":"Scrivani SJMathews ESMaciewicz RJ.Trigeminal neuralgia. 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Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2005;100(5):527-538."},{"issue":"6","key":"bib9","series-title":"J Neurosurg","first-page":"1144","article-title":"Microvascular decompression for primary trigeminal neuralgia: long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression","volume":"107","author":"Sindou","year":"2007","unstructured":"Sindou MLeston JDecullier EChapuis F.Microvascular decompression for primary trigeminal neuralgia: long-term effectiveness and prognostic factors in a series of 362 consecutive patients with clear-cut neurovascular conflicts who underwent pure decompression. 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J Neurosurg. 2010;112(4):758-765."},{"issue":"3","key":"bib12","series-title":"Neurosurgery","first-page":"524","article-title":"Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1,600 patients","volume":"48","author":"Kanpolat","year":"2001","unstructured":"Kanpolat YSavas ABekar ABerk C.Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1,600 patients. Neurosurgery. 2001;48(3):524-532."},{"issue":"2","key":"bib13","series-title":"J Neurosurg","first-page":"329","article-title":"Glycerol rhizotomy and radiofrequency thermocoagulation for trigeminal neuralgia in multiple sclerosis","volume":"118","author":"Bender","year":"2013","unstructured":"Bender MTPradilla GBatra SGlycerol rhizotomy and radiofrequency thermocoagulation for trigeminal neuralgia in multiple sclerosis. 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