Swain Bhanu P, Vidhya Sri, Jadon Ashok, Chandra Kumar N, Kumar Sharad
Department of Anesthesia and Critical Care, Tata Main Hospital, Jamshedpur, India.
Department of Anesthesia, Tata Motors Hospital, Jamshedpur, India.
Pain Pract. 2018 Mar;18(3):368-373. doi: 10.1111/papr.12605. Epub 2017 Jul 6.
Pregnancy is known to aggravate pre-existing chronic painful conditions. Trigeminal neuralgia (TN), albeit a disease of the elderly, may afflict pregnant females, which can further complicate its management. Teratogenic effects of the commonly used drugs on the developing fetus limit pharmacological treatment. Moreover, safety of commonly performed interventional therapies is marred by their inherent fetomaternal effects and more importantly the risk for radiation effects on the fetus due to the use of fluoroscopy. This rare coexistence of TN in pregnancy has not been reported before. Here we present a case of TN in a young woman, whose pain was aggravated when she became pregnant, and she was treated successfully by conventional radiofrequency ablation of the Gasserian ganglion.
众所周知，怀孕会加重已有的慢性疼痛病症。三叉神经痛（TN）虽然是一种老年疾病，但也可能折磨怀孕女性，这会使其治疗更加复杂。常用药物对发育中胎儿的致畸作用限制了药物治疗。此外，常用的介入治疗的安全性因其固有的母婴效应而受到影响，更重要的是，由于使用荧光透视法，存在对胎儿产生辐射影响的风险。这种TN在孕期罕见的并存情况此前尚未见报道。在此，我们报告一例年轻女性的TN病例，她在怀孕时疼痛加重，并通过传统的半月神经节射频消融术成功治愈。
