Waidhauser E, Steude U
Department of Neurosurgery, University of Munich, FRG.
Stereotact Funct Neurosurg. 1994;62(1-4):304-8. doi: 10.1159/000098637.
The treatment of so-called atypical trigeminal neuralgia, characterized by long-lasting burning pain sensations without any pain attacks was for a long time an unsolved problem in contrast to the so-called 'tic douloreux'. Following the experience with our own patients and other groups, destructive procedures in atypical trigeminal neuralgia frequently result in worsening of the clinical conditions. We have therefore transferred the well-established method in the periphery of therapeutic electrostimulation to the trigeminal region. The evaluation of the patients with atypical trigeminal neuralgia is the key for good therapeutic results. Therefore percutaneous test stimulation of the ganglion gasseri has to be performed during a hospital stay. 54% of 149 patients experienced pain relief during test stimulation. Therefore in 81 patients with positive test results, electrodes were implanted together with a neurological pulse generator (Itrel Medtronic).
所谓的非典型三叉神经痛，其特征为持续的灼痛而无任何疼痛发作，与所谓的“痛性抽搐”相反，长期以来一直是一个未解决的问题。根据我们自己患者及其他群体的经验，非典型三叉神经痛的破坏性手术常常导致临床状况恶化。因此，我们已将成熟的外周治疗性电刺激方法应用于三叉神经区域。对非典型三叉神经痛患者的评估是取得良好治疗效果的关键。因此，必须在住院期间对半月神经节进行经皮试验性刺激。149例患者中有54%在试验性刺激期间疼痛缓解。因此，在81例试验结果为阳性的患者中，将电极与神经脉冲发生器（美敦力Itrel）一起植入。
