Gasserian ganglion thermal radiofrequency in patients with trigeminal neuralgia
Keywords:
Trigeminal neuralgia, Radio waves, Chronic pain, Anesthesia
Abstract
Introduction: Trigeminal neuralgia (TN) affects primarily women over 50 years of age and its etiology is unknown in most cases. Drugs are first line treatment, but they are ineffective in 40% of cases. Interventional therapies are a management option in those cases.
Objective: To determine the safety and efficacy of Gasserian ganglion thermal (TR) radio frequency in patients with TN.
Materials and methods: Descriptive, prospective follow-up study of a cohort of 15 patients with a diagnosis of TN who underwent Gasserian ganglion TR at the Colombian Pain Institute between May 2010 and May 2011, with at least one year follow-up.
Results: The mean age of the patients intervened was 52 years, 73% were females with right-sided predominance (67%) with involvement mainly of the second and third branch of the trigeminal nerve. After the intervention, all 15 patients went from severe pain to a condition rangingbetween mild and no pain, and 50% were even pain-free one year after the procedure.
Conclusions: TN has a significant effect on quality of life. The main treatment is pharmacological but when it fails, Gasserian ganglion TR is an effective and safe option available in our setting.
References
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12. Han K, Kim C, Chae Y, Kim D. Efficacy and safety of high concentration lidocaine for trigeminal nerve block in patients with trigeminal neuralgia. Int J Clin Pract. 2008;62:248-54.
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14. Pollock BE. Percutaneous retrogasserian glycerol rhizotomy for patients with idiopathic trigeminal neuralgia: a prospective analysis of factors related to pain relief. J Neurosurg. 2005;102:223-8.
15. Bender M, Pradilla G, Batra S, See A, Bhutiani N. Effectiveness of repeat glycerol rhizotomy in treating recurrent trigeminal neuralgia. Neurosurgery. 2012;70:1125-34.
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17. Bergenheim T, Asplund P, Linderoth B. Percutaneous retrogasserian balloon compression for trigeminal neuralgia: review of critical technical details and outcomes. World Neurosurg. April 2, http://dx.doi.org/10.1016/j.wneu.2012.03.014.18
18. BaaborMG, Perez-Limonte L. Percutaneous balloon compression of the gasserian ganglion for the treatment of trigeminal neuralgia: personal experience of 206 patients. Acta Neurochir Suppl. 2011;108:251-4.
19. Pollock B. Radiosurgery for trigeminal neuralgia: is sensory disturbance required for pain relief? J Neurosurg. 2006;105:103-6.
20. Loescher A, Radatz M, Kemeny A, Rowe J. Stereotactic radiosurgery for trigeminal neuralgia: outcomes and complications. Br J Neurosurg. 2012;26:45-52.
21. Liu J, Apfelbaum R. Treatment of trigeminal neuralgia. Neurosurg Clin N Am. 2004;15:319-34.
22. Kanpolat Y, Savas A, Bekar A, Berk C. Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1600 patients. Neurosurgery. 2001;48:524-34.
23. Broggi G, Franzini A, Lasio G, Giorgi C, Servello D. Long-term results of percutaneous retrogasserian thermorhizotomy for essential trigeminal neuralgia: considerations in 1000 consecutive patients. Neurosurgery. 1990;26:783-7.
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26. Erdine S, Ozyalcin NS, Cimen A, Celik M, Talu GK, Disci R. Comparison of pulsed radiofrequency with conventional radiofrequency in the treatment of idiopathic trigeminal neuralgia. Eur J Pain. 2007;11:309-13.
2. Boto G. Neuralgia del Trigemino. Neurocirugia. 2010;21:361-72.
3. Gronseth G, Cruccu G, Alksne J, Argoff C, Brainin M, Burchiel K, et al. Practice parameter: the diagnostic evaluation and treatment of trigeminal neuralgia (an evidence-based review).Neurology. 2008;71:1183-90.
4. Zakrzewska J. Diagnosis and differential diagnosis of trigeminal neuralgia. Clin J Pain. 2002;18:14-21.
5. Jorns T, Zakrzewska J. Evidence-based approach to the medical management of trigeminal neuralgia. Br J Neurosurg. 2007;21:253-61.
6. Zakrzewska JM, Lopez BC, Kim SE, Coakham HB. Patient reports of satisfaction after microvascular decompression and partial sensory rhizotomy for trigeminal neuralgia. Neurosurgery. 2005;56:1304-11.
7. Zakrzewska J, McMillan R. Trigeminal neuralgia: the diagnosis and management of this excruciating and poorly understood facial pain. Postgrad Med J. 2011;87:410-6.
8. Zakrzewska J, Akram H. Neurosurgical interventions for the treatment of classical trigeminal neuralgia. Cochrane Library. 2011:12 [Review]
9. Stajcic Z, Juniper RP, Todorovic L. Peripheral streptomycin/lidocaine injections versus lidocaine alone in the treatment of idiopathic trigeminal neuralgia. A double blind controlled trial. J Craniomaxillofac Surg. 1990;18:243-6.
10. Bittar GT, Graff SB. The effects of streptomycin/lidocaine block on trigeminal neuralgia: a double blind crossover placebo controlled study. Headache. 1993;33:155-60.
11. Cruccu G, Gronseth G, Alksne J, Argoff C, Brainin M, Burchiel K, et al. AAN-EFNS guidelines on trigeminal neuralgia management. Eur J Neurol. 2008;15:1013-28.
12. Han K, Kim C, Chae Y, Kim D. Efficacy and safety of high concentration lidocaine for trigeminal nerve block in patients with trigeminal neuralgia. Int J Clin Pract. 2008;62:248-54.
13. Zakrzewska J, Coakham B. Microvascular decompression for trigeminal neuralgia: update. Curr Opin Neurol. 2012;25:296-301.
14. Pollock BE. Percutaneous retrogasserian glycerol rhizotomy for patients with idiopathic trigeminal neuralgia: a prospective analysis of factors related to pain relief. J Neurosurg. 2005;102:223-8.
15. Bender M, Pradilla G, Batra S, See A, Bhutiani N. Effectiveness of repeat glycerol rhizotomy in treating recurrent trigeminal neuralgia. Neurosurgery. 2012;70:1125-34.
16. Harries A, Mitchell R. Percutaneous glycerol rhizotomy for trigeminal neuralgia: safety and efficacy of repeat procedures. Br J Neurosurg. 2011;25:268-72.
17. Bergenheim T, Asplund P, Linderoth B. Percutaneous retrogasserian balloon compression for trigeminal neuralgia: review of critical technical details and outcomes. World Neurosurg. April 2, http://dx.doi.org/10.1016/j.wneu.2012.03.014.18
18. BaaborMG, Perez-Limonte L. Percutaneous balloon compression of the gasserian ganglion for the treatment of trigeminal neuralgia: personal experience of 206 patients. Acta Neurochir Suppl. 2011;108:251-4.
19. Pollock B. Radiosurgery for trigeminal neuralgia: is sensory disturbance required for pain relief? J Neurosurg. 2006;105:103-6.
20. Loescher A, Radatz M, Kemeny A, Rowe J. Stereotactic radiosurgery for trigeminal neuralgia: outcomes and complications. Br J Neurosurg. 2012;26:45-52.
21. Liu J, Apfelbaum R. Treatment of trigeminal neuralgia. Neurosurg Clin N Am. 2004;15:319-34.
22. Kanpolat Y, Savas A, Bekar A, Berk C. Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1600 patients. Neurosurgery. 2001;48:524-34.
23. Broggi G, Franzini A, Lasio G, Giorgi C, Servello D. Long-term results of percutaneous retrogasserian thermorhizotomy for essential trigeminal neuralgia: considerations in 1000 consecutive patients. Neurosurgery. 1990;26:783-7.
24. Tew JM, Taha JM. Percutaneous rhizotomy in the treatment of intractable facial pain (trigeminal, glossopharyngeal, and vagal nerves). In: Schmidek HH, Sweet WH, editors. Operative neurosurgical techniques: indications, methods, and results. 3rd ed. Philadelphia: W.B. Saunders Co.; 1995. p. 1469-84.
25. Emril D, Ho K. Treatment of trigeminal neuralgia: role of radiofrequency ablation. J Pain Res. 2010;3: 249-54.
26. Erdine S, Ozyalcin NS, Cimen A, Celik M, Talu GK, Disci R. Comparison of pulsed radiofrequency with conventional radiofrequency in the treatment of idiopathic trigeminal neuralgia. Eur J Pain. 2007;11:309-13.
How to Cite
1.
Rivera Díaz RC, Bastidas Benavides JL, García Álvarez J. Gasserian ganglion thermal radiofrequency in patients with trigeminal neuralgia. Colomb. J. Anesthesiol. [Internet]. 2013 Apr. 1 [cited 2024 Apr. 23];41(2):127-31. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/878
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Published
2013-04-01
How to Cite
1.
Rivera Díaz RC, Bastidas Benavides JL, García Álvarez J. Gasserian ganglion thermal radiofrequency in patients with trigeminal neuralgia. Colomb. J. Anesthesiol. [Internet]. 2013 Apr. 1 [cited 2024 Apr. 23];41(2):127-31. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/878
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