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Journal of Korean Neurosurgical Society 2003;33(4): 399-401.
Nucleus Caudalis DREZ Lesioning for Intractable Pain due to Invasive Sarcoma in Skull Base: Case Report.
Jae Sung Byun, Hyung Sik Hwang
Department of Neurosurgery, College of Medicine, Hallym University, Seoul, Korea. Hyungsik@yahoo.co.kr
ABSTRACT
We present a case of nucleus caudalis DREZ operation for medically refractory facial pain due to invasive sarcoma in skull base. The patient showed excellent pain relief immediately after the operation. Until 5 month later, the pain was less than before surgery. At the point of view of pain characteristics and distribution, it was considered the trigemino-vago-glossopharyngeal neuralgia. It is suggested that the nucleus caudalis DREZ operation is effective in treating medically refractory facial pain due to invasive sarcoma in skull base.
Key Words: Nucleus caudalis trigeminal nucleus; Trigemino-vago-glossopharyngeal neuralgia; Dorsal root entry zone(DREZ)
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