Xiao Xiong, Ren Hao, Ji Nan, Luo Fang
Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, People's Republic of China.
Department of Anesthesiology and Pain Management, Beijing Tiantan Hospital, Capital Medical University, Beijing 100050, People's Republic of China,
J Pain Res. 2018 Aug 8;11:1497-1501. doi: 10.2147/JPR.S166446. eCollection 2018.
Pulsed radiofrequency is an effective, safe, and nondestructive pain treatment technique that has been insufficiently reported in the treatment of supraorbital neuralgia. We report the successful use of pulsed radiofrequency to alleviate acute severe supraorbital neuralgia in a post-craniotomy patient. A 52-year-old female, who had acute severe supraorbital neuralgia after having received a right frontal craniotomy and with poor efficacy in response to medication and a nerve block, was subjected to ultrasound-guided pulsed radiofrequency treatment and experienced complete pain relief, as a result of which the patient stopped taking all analgesic drugs. The patient had follow-up visits for 1 year, during which she reported no pain. Furthermore, no side effects of nerve damage after pulsed radiofrequency were observed. Our results suggest that pulsed radiofrequency is a promising technique for the treatment of supraorbital neuralgia and that further studies of this technique should be conducted.
脉冲射频是一种有效、安全且无创的疼痛治疗技术，在眶上神经痛的治疗方面报道较少。我们报告了脉冲射频成功用于缓解一名开颅术后患者急性重度眶上神经痛的情况。一名52岁女性，在接受右侧额部开颅术后出现急性重度眶上神经痛，药物及神经阻滞治疗效果不佳，接受了超声引导下脉冲射频治疗，疼痛完全缓解，患者因此停用了所有镇痛药。该患者进行了1年的随访，期间未诉疼痛。此外，未观察到脉冲射频后神经损伤的副作用。我们的结果表明，脉冲射频是治疗眶上神经痛的一种有前景的技术，应对该技术开展进一步研究。
