Neuromuscular DiseasesNeuromuscular DiseasesНервно-мышечные болезни2222-87212413-0443Publishing House ABV Press7010.17650/2222-8721-2012-0-1-19-24LECTURES AND REVIEWSЛЕКЦИИ И ОБЗОРЫPercutaneous high-frequency selective rhizotomy in the trigeminal neuralgia therapy in multiple sclerosisЧрескожная высокочастотная селективная ризотомия в терапии тригеминальной невралгии при рассеянном склерозеTyurnikovV. M.ТюрниковВ. М.
Russian Federation
PeresedovaA. V.ПереседоваА. В.
Russian Federation
neuro_inf@neurology.ruGushchaA. O.ГущаА. О.
Russian Federation
ZavalishinI. A.ЗавалишинИ. А.
Russian Federation
Neurology Research Center, Russian Academy of Medical Sciences, MoscowФГБУ Научный центр неврологии РАМН, Москва200220122119242002201520022015Copyright ©; 2012, Tyurnikov V.M., Peresedova A.V., Gushcha A.O., Zavalishin I.A.Copyright ©; 2012, Тюрников В.М., Переседова А.В., Гуща А.О., Завалишин И.А.2012Tyurnikov V.M., Peresedova A.V., Gushcha A.O., Zavalishin I.A.Тюрников В.М., Переседова А.В., Гуща А.О., Завалишин И.А.https://creativecommons.org/licenses/by/4.0https://nmb.abvpress.ru/jour/article/view/70

Trigeminal neuralgia is a rare symptom of multiple sclerosis affecting the disability. Multiple sclerosis related trigeminal neuralgia has been attributed to a demyelinating lesion in the pons. When the adequate pain drug-relieve therapy is not possible or when the patient becomes refractory to the treatment or can not continue pharmacological treatment because of the side effects, surgical intervention, including percutaneous radiofrequency rhizotomy is being discussed. Literature review and the data upon the efficiency and safety of this neurosurgical treatment in 16 patients with multiple sclerosis have been analyzed. Percutaneous radiofrequency rhizotomy has been proved to be a safe, reproducible and effective method of the symptomatic surgical treatment of trigeminal neuralgia in patients with multiple sclerosis in cases of the intolerance/inefficiency of the pharmacological therapy.

Невралгия тройничного нерва (НТН) является относительно редким, но инвалидизирующим симптомом при рассеянном склерозе (РС). В качестве наиболее частой причины считается наличие очага демиелинизации в варолиевом мосту. При ограничении возможностей медикаментозной терапии НТН при РС в связи побочными эффектами рассматривается возможность различных методов хирургического лечения, в том числе проведение чрескожной высокочастотной селективной ризотомии (ЧВСР). Приведены литературные и собственные данные оценки эффективности и безопасности ЧВСР при НТН у 16 больных РС. Полученные результаты позволили заключить, что ЧВСР является безопасным, повторяемым и эффективным методом симптоматического хирургического лечения НТН при РС при неэффективности/непереносимости медикаментозной терапии.

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