Radio-frequency ablation of trigeminal ganglion for refractory pain of bilateral trigeminal neuralgia in a patient with multiple sclerosis
Trigeminal neuralgia (TN) is one of the most excruciating variety of craniofacial neuralgias with 12% prevalence in general population. It can be either primary (idiopathic, 90% cases) or secondary (due to pathology such as tumor, multiple sclerosis [MS], and arteriovenous malformation, 10% of cases...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Indian Journal of Pain |
| Subjects: | |
| Online Access: | http://www.indianjpain.org/article.asp?issn=0970-5333;year=2018;volume=32;issue=2;spage=113;epage=115;aulast=Doshi |
| _version_ | 1811279466864836608 |
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| author | Preeti P Doshi Namita H Parikh |
| author_facet | Preeti P Doshi Namita H Parikh |
| author_sort | Preeti P Doshi |
| collection | DOAJ |
| description | Trigeminal neuralgia (TN) is one of the most excruciating variety of craniofacial neuralgias with 12% prevalence in general population. It can be either primary (idiopathic, 90% cases) or secondary (due to pathology such as tumor, multiple sclerosis [MS], and arteriovenous malformation, 10% of cases). TN has a 20 times higher risk of prevalence in patients with MS with an average incidence of 2%. Bilateral TN is significantly more common in patients with MS (18%) when compared to the normal population (5%). Pharmacotherapy is the first line and mainstay of management, but a small percentage of patients continue to have unremitting pain requiring other management modalities such as minimally invasive percutaneous techniques, microvascular decompression, or stereotactic radiosurgery. There is, however, no consensus at present regarding its selection for an individual patient. This case report highlights successful application of radio-frequency ablation in a patient with MS who had bilateral presentation with different timings. |
| first_indexed | 2024-04-13T00:56:15Z |
| format | Article |
| id | doaj.art-3005a7340ce543dbb354a8f08f1cb6f5 |
| institution | Directory Open Access Journal |
| issn | 0970-5333 |
| language | English |
| last_indexed | 2024-04-13T00:56:15Z |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Pain |
| spelling | doaj.art-3005a7340ce543dbb354a8f08f1cb6f52022-12-22T03:09:40ZengWolters Kluwer Medknow PublicationsIndian Journal of Pain0970-53332018-01-0132211311510.4103/ijpn.ijpn_42_18Radio-frequency ablation of trigeminal ganglion for refractory pain of bilateral trigeminal neuralgia in a patient with multiple sclerosisPreeti P DoshiNamita H ParikhTrigeminal neuralgia (TN) is one of the most excruciating variety of craniofacial neuralgias with 12% prevalence in general population. It can be either primary (idiopathic, 90% cases) or secondary (due to pathology such as tumor, multiple sclerosis [MS], and arteriovenous malformation, 10% of cases). TN has a 20 times higher risk of prevalence in patients with MS with an average incidence of 2%. Bilateral TN is significantly more common in patients with MS (18%) when compared to the normal population (5%). Pharmacotherapy is the first line and mainstay of management, but a small percentage of patients continue to have unremitting pain requiring other management modalities such as minimally invasive percutaneous techniques, microvascular decompression, or stereotactic radiosurgery. There is, however, no consensus at present regarding its selection for an individual patient. This case report highlights successful application of radio-frequency ablation in a patient with MS who had bilateral presentation with different timings.http://www.indianjpain.org/article.asp?issn=0970-5333;year=2018;volume=32;issue=2;spage=113;epage=115;aulast=DoshiBilateral trigeminal neuralgiamultiple sclerosispain managementpercutaneous interventionradio-frequency thermal ablation Keymessage: Radio-frequency ablation is a useful minimally invasive treatment modalitywhich is effective and relatively safer as compared to other options for medically refractory TN in patients with MSespecially the ones with bilateral presentation. |
| spellingShingle | Preeti P Doshi Namita H Parikh Radio-frequency ablation of trigeminal ganglion for refractory pain of bilateral trigeminal neuralgia in a patient with multiple sclerosis Indian Journal of Pain Bilateral trigeminal neuralgia multiple sclerosis pain management percutaneous intervention radio-frequency thermal ablation Keymessage: Radio-frequency ablation is a useful minimally invasive treatment modality which is effective and relatively safer as compared to other options for medically refractory TN in patients with MS especially the ones with bilateral presentation. |
| title | Radio-frequency ablation of trigeminal ganglion for refractory pain of bilateral trigeminal neuralgia in a patient with multiple sclerosis |
| title_full | Radio-frequency ablation of trigeminal ganglion for refractory pain of bilateral trigeminal neuralgia in a patient with multiple sclerosis |
| title_fullStr | Radio-frequency ablation of trigeminal ganglion for refractory pain of bilateral trigeminal neuralgia in a patient with multiple sclerosis |
| title_full_unstemmed | Radio-frequency ablation of trigeminal ganglion for refractory pain of bilateral trigeminal neuralgia in a patient with multiple sclerosis |
| title_short | Radio-frequency ablation of trigeminal ganglion for refractory pain of bilateral trigeminal neuralgia in a patient with multiple sclerosis |
| title_sort | radio frequency ablation of trigeminal ganglion for refractory pain of bilateral trigeminal neuralgia in a patient with multiple sclerosis |
| topic | Bilateral trigeminal neuralgia multiple sclerosis pain management percutaneous intervention radio-frequency thermal ablation Keymessage: Radio-frequency ablation is a useful minimally invasive treatment modality which is effective and relatively safer as compared to other options for medically refractory TN in patients with MS especially the ones with bilateral presentation. |
| url | http://www.indianjpain.org/article.asp?issn=0970-5333;year=2018;volume=32;issue=2;spage=113;epage=115;aulast=Doshi |
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