Abd-Elsayed Alaa, Kreuger Laura, Seeger Susanne, Dulli Douglas
Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
University of Wisconsin School of Medicine and Public Health, Madison, WI.
Ochsner J. 2018 Spring;18(1):63-65.
Trigeminal neuralgia is the most common cause of facial pain but can be challenging to treat. Some patients fail on medications, and while surgical procedures achieve short-term efficacy, they can be associated with numerous complications. We present a case series suggesting the efficacy and safety of using pulsed radiofrequency (PRF) through the transcoronoid approach to treat trigeminal neuralgia.
This retrospective analysis included 8 cases with data collected from the electronic medical record. Outcomes were pain scores before and after the procedure as well as the percent improvement after the procedure (improvement in severity, frequency, and duration).
Patients had an average age of 56.4 ± 13 years. All patients reported improvement after the procedure, and 3 patients reported that their improvement was ongoing at the time of follow-up. No complications were reported by any of our patients.
PRF through the transcoronoid approach may be a safe and effective approach for treating trigeminal neuralgia in patients resistant to conservative management.
三叉神经痛是面部疼痛最常见的病因，但治疗颇具挑战性。一些患者药物治疗无效，尽管手术治疗能取得短期疗效，但可能会伴有多种并发症。我们呈现了一个病例系列，提示经冠状突入路使用脉冲射频（PRF）治疗三叉神经痛的有效性和安全性。
本回顾性分析纳入了8例患者，数据从电子病历中收集。观察指标为手术前后的疼痛评分以及术后改善百分比（严重程度、频率和持续时间的改善）。
患者平均年龄为56.4±13岁。所有患者术后均有改善，3例患者在随访时报告改善仍在持续。我们的患者均未报告有并发症。
经冠状突入路的脉冲射频可能是治疗对保守治疗耐药的三叉神经痛患者的一种安全有效的方法。
