71-year-old male with a history of medically refractory trigeminal neuralgia presenting with 3-4 weeks of a severe intermittent shocking pain involving the right V2 and V3 distribution of his face.
Rx: 86 Gy (100% IDL) in a single fraction using framed stereotactic radiosurgery (GammaKnife Based)
Dose: 70-90 Gy
Note: Isocenter is visible on image 109
Case contributed by Allegheny Health Network Cancer Institute.
Per Tuleasca JNS 2019.
Single vs Two Isocenter Treatment
Pain Responnse and Intensity:
Barrow Neurological Institute Pain Intensity Score:
Facial Hypesthesia Score:
Questions? Feedback? Report here