Radiofrequency Thermocoagulation for Trigeminal Neuralgia

Bithal, Parmod K.

doi:10.1007/978-981-13-2333-1_19

Cited by 2 publications

(2 citation statements)

References 25 publications

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“…They are generated by MS, as well as space-occupying lesions such cerebellopontine angle tumors and meningiomas. Classical TN is characterized by paroxysmal and electric shock-like pain and is caused primarily by demyelination due to blood vessel tension on the trigeminal root entrance zone [6]. These exhibit evident nerve compression findings in the trigeminal nerve with morphological alterations, and causal issues can be seen with magnetic resonance imaging (MRI) and surgery.…”

Section: Clinical Characteristics Of Trigeminal Neuralgiamentioning

confidence: 99%

Recent update on trigeminal neuralgia

Islam

Park

2022

J Korean Ster Func Neurosurg

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Trigeminal neuralgia (TN), a long-term disorder affecting the trigeminal nerve, is a form of debilitating neuropathic pain. Although the underlying pathogenesis of TN is debatable, loss of myelin along the trigeminal nerve due to direct compression from a blood vessel or secondary to other conditions such as multiple sclerosis or stroke is thought to be the principal cause. Paroxysmal sporadic pain, with unilateral onset, is the main phenomenon of TN. TN is typically diagnosed clinically. Medications, surgery, and complementary techniques are among the current therapy options for altering the neural circuits associated with TN. Nevertheless, anti-epileptic and tricyclic antidepressant medications are recognized as first-line treatments, and surgical treatment may be required for patients who have not obtained a therapeutic effect with at least three medications, have experienced intolerable side effects, or have symptoms that are not resolving. Stimulation of brain regions is an emerging off-label technique that has the potential to offer pain relief from TN, but sufficient data and more extensive studies on both animals and humans are yet to be published. More specifically, convenient diagnostic techniques and affordable treatment modalities for TN have become crucial needs in order to reduce the psychological and socio-economical losses caused by TN.

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Section: Clinical Characteristics Of Trigeminal Neuralgiamentioning

confidence: 99%

Recent update on trigeminal neuralgia

Islam

Park

2022

J Korean Ster Func Neurosurg

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“…Both treatments have level C of evidence-based medicine. 14,[16][17][18][19][20][21][22] Prior treatment by phenol gangliolysis or balloon decompression might cause surrounding tissue damage, 16,[23][24][25] while radiofrequency ablation (RFA) has less than 1% of complication rate. [26][27][28] The initial remission rate of RFA was 85.3% to 97.7%, compared to 94% by pulsed radiofrequency (PRF), and after 5 y the RFA remission was 50.4% to 80.7%.…”

Section: Introductionmentioning

confidence: 99%

Single cycle, low temperature radiofrequency ablation is effective for trigeminal neuralgia

Budisulistyo¹,

Arlina²

2022

Anaesth. pain intensive care

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Background & Objective: Trigeminal neuralgia (TN) is the most common cause of neuropathic pain with few issues regarding medications whereas surgeries need careful consideration. Radiofrequency ablation (RFA) can be used as an intervention treatment bridging the gap of long-term medication and surgical intervention. RFA procedure has its own complications following electrode placement and ablation procedures. We analyzed the effectiveness of low temperature RFA treatment in patients with trigeminal neuralgia. Methodology: This study was a prospective analysis of the data from the medical records of 21 patients. A single cycle of RFA at 60° C of for 90 sec was performed from November 2018 to July 2019. Data collection included preoperative pain scores, analgesics prescribed, pain scores on numerical rating scale (NRS) for 6 months follow up. Results: The subjects 53.86 ± 10.48 y (43% men and 57% women) observed NRS decrease significantly (mean 2.15, SD 0.9; p < 0.05). No significant influence of analgesic combination gabapentin and Amitriptyline, or carbamazepine and Amitriptyline to pain spectrum improvement underwent RFA. Conclusion: A single cycle of of RFA treatment at 60° C for 90 sec among TN patients showed significant improvement of pain at 6 months without complications. Abbreviations: TN: trigeminal neuralgia; NMDA: N-methyl-d-aspartate GABA: gamma aminobutyric acid; TCA: tricyclic antidepressant; MVD: microvascular decompression; RFA: radiofrequency ablation; PRF: pulsed radiofrequency; NRS: numerical rating score; SNRI: serotonin-norepinephrine reuptake inhibitor Citation: Budisulistyo T, Arlina Y. Single cycle, low temperature radiofrequency ablation for trigeminal neuralgia shows clinical improvement of pain. Anaesth. pain intensive care 2022;26(5):669-673. DOI: 10.35975/apic.v26i5.2024

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Radiofrequency Thermocoagulation for Trigeminal Neuralgia

Cited by 2 publications

References 25 publications

Recent update on trigeminal neuralgia

Recent update on trigeminal neuralgia

Single cycle, low temperature radiofrequency ablation is effective for trigeminal neuralgia

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