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Your search keyword '"Siniscalchi E.N."' showing total 2 results
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2 results on '"Siniscalchi E.N."'

1. Frameless Stereotactic Radiosurgery for Treatment of Multiple Sclerosis-Related Trigeminal Neuralgia

Author

A. Brogna, Antonio Pontoriero, Francesco Tomasello, Felice Esposito, Sergio Vinci, Giuseppe Iatì, Francesco Saverio De Ponte, Enrico Nastro Siniscalchi, Salvatore Crimi, Stefano Pergolizzi, Antonino Germanò, Alfredo Conti, Conti Alfredo, Pontoriero A., Iati G., Esposito F., Siniscalchi E.N., Crimi S., Vinci S., Brogna A., De Ponte F., Germano A., Pergolizzi S., and Tomasello F.

Subjects
Male, Multiple Sclerosis, medicine.medical_treatment, CyberKnife, Radiosurgery, Follow-Up Studie, Rhizotomy, 03 medical and health sciences, 0302 clinical medicine, Trigeminal neuralgia, Cyberknife, Multiple Sclerosi, medicine, Humans, Trigeminal Nerve, Stereotactic radiosurgery, Facial numbne, medicine.diagnostic_test, business.industry, Multiple sclerosis, Magnetic resonance imaging, Pain scale, Middle Aged, Trigeminal Neuralgia, facial numbness, medicine.disease, Magnetic Resonance Imaging, 030220 oncology & carcinogenesis, Frameless radiosurgery, Cyberknife, facial numbness, frameless radiosurgery, multiple sclerosis, stereotactic radiosurgery, trigeminal neuralgia, Surgery, Female, Neurology (clinical), CyberKnife Radiosurgery, business, Nuclear medicine, Tomography, X-Ray Computed, 030217 neurology & neurosurgery, Human, Follow-Up Studies, Radiotherapy, Image-Guided
Abstract

Background Trigeminal neuralgia (TN) affects 7% of patients with multiple sclerosis (MS). In such patients, TN is difficult to manage either pharmacologically and surgically. Radiosurgical rhizotomy is an effective treatment option. The nonisocentric geometry of radiation beams of CyberKnife introduces new concepts in the treatment of TN. Its efficacy for MS-related TN has not yet been demonstrated. Methods Twenty-seven patients with refractory TN and MS were treated. A nonisocentric beams distribution was chosen; the maximal target dose was 72.5 Gy. The maximal dose to the brainstem was

Published
2017

2. An unusual internal carotid artery compression as a possible cause of Eagle syndrome – A novel hypothesis and an innovative surgical technique

Author

Francesco Grillo, Concetta Alafaci, Enrico Nastro Siniscalchi, Marcello Longo, Francesca Granata, Karol Galletta, Rosa Musolino, Giovanni Grasso, Filippo Benedetto, Francesco Saverio De Ponte, Jolanda De Caro, Domenico Squillaci, Galletta, K., Granata, F., Longo, M., Alafaci, C., de Ponte, F.S., Squillaci, D., de Caro, J., Grillo, F., Benedetto, F., Musolino, R., Grasso, G., and Siniscalchi, E.N.

Subjects
medicine.medical_specialty, Case Report, Dissection (medical), 03 medical and health sciences, 0302 clinical medicine, Styloidectomy, medicine.artery, Eagle syndrome, Medicine, Eagle syndrome, Styloidectomy, Surgical treatment, Paresis, Computed tomography angiography, Surgical treatment, medicine.diagnostic_test, business.industry, 030206 dentistry, medicine.disease, Compression (physics), Surgery, Middle cerebral artery, Neurology (clinical), Internal carotid artery, medicine.symptom, business, 030217 neurology & neurosurgery, Calcification
Abstract

Background: Eagle syndrome (ES) is a rare symptomatic condition generally caused by an elongated styloid process (SP) or calcification of the stylohyoid complex. On the diagnosis is made, its treatment remains subjective since the indications for surgical intervention are still not standardized. Although styloidectomy is the surgical treatment of choice, no consensus exists regarding the transcervical or/and transoral route. Here, we report our experience in a patient with bilateral internal carotid artery (ICA) dissection caused by ES, who underwent innovative surgical technique. Case Description: A 53-year-old man, with the right-sided middle cerebral artery acute stroke, underwent computed tomography angiography 3 days after a successful endovascular treatment. The study showed a bilateral ICA dissection with bilateral hypertrophic SPs and a close relationship of ICAs with both SPs anteriorly and C1 transverse process posteriorly. Considering the occurrence of ICA compression by a styloid/C1 transverse process juxtaposition, the patient underwent the left partial C1 transversectomy by an extraoral approach. A temporary paresis of the ipsilateral lower lip lasted 1 month, with a partial remission after 3 months. The patient reported significant improvement of symptoms with a good esthetics and functional outcome. Conclusion: A styloid/C1 transverse process juxtaposition should be considered as an alternative pathogenetic mechanism in vascular ES. When a posterior ICA compression by C1 transverse process is present, a bone reshaping of C1 rather than a conventional styloidectomy can be considered an efficacious treatment which allows a good preservation of the styloid muscles and ligaments.

Published
2019

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