Pulsed Radiofrequency for the Treatment of Trigeminal Neuralgia

Abd‐Elsayed, Alaa; Martens, Joshua M.; Fiala, Kenneth; Izuogu, Angelica

doi:10.1007/s11916-022-01092-0

Cited by 11 publications

(11 citation statements)

References 28 publications

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“…A retrospective study found that PRF via the coronal approach is a safe and effective treatment for patients with trigeminal neuralgia who failed to respond to conservative treatment, and showed that trigeminal PRF can be used as a safe and effective treatment for TN of all ages [7]. Silva reported two 40 and 48-year-old male patients with severe V2-3 TN who received bipolar PRF.…”

Section: Trigeminal Neuralgiamentioning

confidence: 99%

Progress in Clinical Application of Pulsed Radiofrequency for Chronic Pain

2023

JCMP

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Chronic pain is one of the health problems of common concern around the world. With the increasing expectation of patients for the therapeutic effect, traditional drug therapy has been difficult to meet the needs of patients. As a new minimally invasive pain treatment technology, pulsed radiofrequency has significant clinical effect, simple operation and repeatability, and plays an important role in the treatment of chronic pain. This article reviews the application of pulsed radiofrequency in the treatment of various chronic pain, in order to provide reference for clinical treatment.

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Section: Trigeminal Neuralgiamentioning

confidence: 99%

Progress in Clinical Application of Pulsed Radiofrequency for Chronic Pain

2023

JCMP

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“…The prevalence of the disease varies between 0.03% and 0.3% of the population, with an annual incidence of approximately 12 cases per 100,000 individuals [1,3]. While it can occur at any age or gender, a higher incidence has been found in females, with an average onset age of 50 [4,5]. In most cases, the etiology of TN is either idiopathic or caused by external vascular compression of the trigeminal nerve, which results in the deterioration of the myelin layer that protects the nerve.…”

Section: Introductionmentioning

confidence: 99%

“…The diagnosis of TN is primarily determined by the patient's medical history and clinical examination findings [4]. However, correctly identifying this condition can often be challenging as the symptoms can be similar to many other conditions that cause facial pain, such as post-herpetic neuralgia, cluster headache, and temporomandibular joint disorder [1,5]. Accordingly, various neurological tests are frequently required to rule out differential diagnoses [5].…”

Section: Introductionmentioning

confidence: 99%

“…Consequently, there are several interventional approaches for the management of TN, including neurectomy, balloon compression, microvascular decompression, stereotactic radiosurgery, and radiofrequency ablation (RFA) [2,4]. RFA is a modality that applies radio waves directly on the nerve to interrupt the transmission of nociceptive signals [5,8]. It has proven to be an effective treatment strategy for TN due to its excellent therapeutic success rates, minimally invasive nature, and safety profile [1,5,7,8].…”

Section: Introductionmentioning

confidence: 99%

“…RFA is a modality that applies radio waves directly on the nerve to interrupt the transmission of nociceptive signals [5,8]. It has proven to be an effective treatment strategy for TN due to its excellent therapeutic success rates, minimally invasive nature, and safety profile [1,5,7,8]. RFA can be classified into two subtypes, namely, continuous radiofrequency (CRF) and pulsed radiofrequency (PRF).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Role of Radiofrequency Ablation in the Treatment of Trigeminal Neuralgia: A Narrative Review

Eskandar¹,

Kumar²,

Boini³

et al. 2023

Cureus

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Trigeminal neuralgia (TN) is a chronic pain condition that affects the trigeminal nerve, the largest of the cranial nerves. It is characterized by severe, sudden, and recurrent facial pain, often triggered by light touch or a breeze. Treatment options for TN include medication, nerve blocks, and surgery, but radiofrequency ablation (RFA) has emerged as a promising alternative. RFA is a minimally invasive procedure that uses heat energy to destroy the small portion of the trigeminal nerve responsible for the pain. The procedure is performed under local anesthesia and can be done as an outpatient procedure. RFA has been shown to provide long-term pain relief for TN patients with a low complication rate. However, RFA is not suitable for all TN patients and may not be effective for those with multiple pain sites. Despite these limitations, RFA is a valuable option for TN patients who are not responding to other treatments. Furthermore, RFA is a good alternative for a patient unsuitable for surgery. Further research is needed to fully understand the long-term effectiveness of RFA and identify the best candidates for the procedure.

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