Gasserian ganglion thermal radiofrequency in patients with trigeminal neuralgia

  • Roberto Carlo Rivera Díaz Anesthesiologist, Pain and Palliative Care Specialist, Professor of Anaesthesia and Pain, Universidad CES, Medical Director, Instituto Colombiano del Dolor, Medellín, Colombia
  • José Libardo Bastidas Benavides Neurosurgeon, Specialist in Functional Neurosurgery and Pain, Instituto Colombiano del Dolor, Medellín, Colombia c Doctor, Third-year Anesthesiology Resident, Universidad CES, Medellín, Colombia
  • Juliana García Álvarez Doctor, Third-year Anesthesiology Resident, Universidad CES, Medellín, Colombia
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.

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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]. 2013Apr.1 [cited 2021Apr.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]. 2013Apr.1 [cited 2021Apr.23];41(2):127-31. Available from: https://www.revcolanest.com.co/index.php/rca/article/view/878
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