Trigeminal neuralgia: IncobotulinumtoxinA (Xeomin), can it decrease the pharmacological intervention? (A case series)

Background: Trigeminal neuralgia is one of the most disabling facial pain syndromes. In recent years' new therapeutic strategy, incobotulinumtoxin A has emerged. The aim of the current study was to determine the time and duration of pain in 3 cases with pharmacological treatment and incobotulin...

Full description

Bibliographic Details
Main Authors: Meghdad Hosseini, Farhad Asarzadegan, Erfan Shafiee, Shayan Alijanpour
Format: Article
Language:English
Published: Babol University of Medical Sciences 2023-03-01
Series:Caspian Journal of Internal Medicine
Subjects:
Online Access:http://caspjim.com/article-1-3161-en.html
_version_ 1797834432057442304
author Meghdad Hosseini
Farhad Asarzadegan
Erfan Shafiee
Shayan Alijanpour
author_facet Meghdad Hosseini
Farhad Asarzadegan
Erfan Shafiee
Shayan Alijanpour
author_sort Meghdad Hosseini
collection DOAJ
description Background: Trigeminal neuralgia is one of the most disabling facial pain syndromes. In recent years' new therapeutic strategy, incobotulinumtoxin A has emerged. The aim of the current study was to determine the time and duration of pain in 3 cases with pharmacological treatment and incobotulinumtoxin A. Case presentation: In three patients with different onsets, trigeminal neuralgia was diagnosed. Pain severity was assessed by the visual analogue scale. Patient demographics and clinical data were filled in a checklist. They were females with age ranging from 39 to 49 years. Two patients had normal MRI and one patient had no any recent MRI. One center and specialist injection Xeomin 50 units for one time. Despite long time oral treatment, their symptoms had no significant improvement, but after incobotulinumtoxin A injection, pain frequency, severity and duration decreased in patients. Conclusion: Result showed that the frequency, severity and duration of pain attacks was efficiently decreased by incobotulinumtoxin A with low side-effects. Its complication and side-effect should be considered in the future.
first_indexed 2024-04-09T14:37:50Z
format Article
id doaj.art-57430089438441d3953a56b30b1a4c35
institution Directory Open Access Journal
issn 2008-6164
2008-6172
language English
last_indexed 2024-04-09T14:37:50Z
publishDate 2023-03-01
publisher Babol University of Medical Sciences
record_format Article
series Caspian Journal of Internal Medicine
spelling doaj.art-57430089438441d3953a56b30b1a4c352023-05-03T10:46:23ZengBabol University of Medical SciencesCaspian Journal of Internal Medicine2008-61642008-61722023-03-01142376379Trigeminal neuralgia: IncobotulinumtoxinA (Xeomin), can it decrease the pharmacological intervention? (A case series)Meghdad Hosseini0Farhad Asarzadegan1Erfan Shafiee2Shayan Alijanpour3 Department of Neurology, Shahid Beheshti University of Medical Science, Tehran, Iran Department of Neurology, Shahid Beheshti University of Medical Sciences, Tehran, Iran Department of Neurology, Shahid Beheshti University of Medical Sciences, Tehran, Iran. Student Research Committee, Faculty of Nursing and midwifery, Tehran University of Medical Science, Tehran, Iran Background: Trigeminal neuralgia is one of the most disabling facial pain syndromes. In recent years' new therapeutic strategy, incobotulinumtoxin A has emerged. The aim of the current study was to determine the time and duration of pain in 3 cases with pharmacological treatment and incobotulinumtoxin A. Case presentation: In three patients with different onsets, trigeminal neuralgia was diagnosed. Pain severity was assessed by the visual analogue scale. Patient demographics and clinical data were filled in a checklist. They were females with age ranging from 39 to 49 years. Two patients had normal MRI and one patient had no any recent MRI. One center and specialist injection Xeomin 50 units for one time. Despite long time oral treatment, their symptoms had no significant improvement, but after incobotulinumtoxin A injection, pain frequency, severity and duration decreased in patients. Conclusion: Result showed that the frequency, severity and duration of pain attacks was efficiently decreased by incobotulinumtoxin A with low side-effects. Its complication and side-effect should be considered in the future.http://caspjim.com/article-1-3161-en.htmltrigeminalneuralgiapainiran.
spellingShingle Meghdad Hosseini
Farhad Asarzadegan
Erfan Shafiee
Shayan Alijanpour
Trigeminal neuralgia: IncobotulinumtoxinA (Xeomin), can it decrease the pharmacological intervention? (A case series)
Caspian Journal of Internal Medicine
trigeminal
neuralgia
pain
iran.
title Trigeminal neuralgia: IncobotulinumtoxinA (Xeomin), can it decrease the pharmacological intervention? (A case series)
title_full Trigeminal neuralgia: IncobotulinumtoxinA (Xeomin), can it decrease the pharmacological intervention? (A case series)
title_fullStr Trigeminal neuralgia: IncobotulinumtoxinA (Xeomin), can it decrease the pharmacological intervention? (A case series)
title_full_unstemmed Trigeminal neuralgia: IncobotulinumtoxinA (Xeomin), can it decrease the pharmacological intervention? (A case series)
title_short Trigeminal neuralgia: IncobotulinumtoxinA (Xeomin), can it decrease the pharmacological intervention? (A case series)
title_sort trigeminal neuralgia incobotulinumtoxina xeomin can it decrease the pharmacological intervention a case series
topic trigeminal
neuralgia
pain
iran.
url http://caspjim.com/article-1-3161-en.html
work_keys_str_mv AT meghdadhosseini trigeminalneuralgiaincobotulinumtoxinaxeomincanitdecreasethepharmacologicalinterventionacaseseries
AT farhadasarzadegan trigeminalneuralgiaincobotulinumtoxinaxeomincanitdecreasethepharmacologicalinterventionacaseseries
AT erfanshafiee trigeminalneuralgiaincobotulinumtoxinaxeomincanitdecreasethepharmacologicalinterventionacaseseries
AT shayanalijanpour trigeminalneuralgiaincobotulinumtoxinaxeomincanitdecreasethepharmacologicalinterventionacaseseries