Treatment of trigeminal neuralgia: role of radiofrequency ablation
| Autor: | Kok-Yuen Ho, Dessy Rakhmawati Emril |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Percutaneous Radiofrequency ablation medicine.medical_treatment Microvascular decompression Review law.invention law Trigeminal neuralgia medicine Trigeminal nerve lcsh:R5-920 trigeminal neuralgia business.industry Multiple sclerosis radiofrequency rhizolysis Carbamazepine medicine.disease Surgery Anesthesiology and Pain Medicine interventional treatment pain management Neuropathic pain minimally invasive lcsh:Medicine (General) business medicine.drug |
| Zdroj: | Journal of Pain Research Journal of Pain Research, Vol 2010, Iss default, Pp 249-254 (2010) |
| ISSN: | 1178-7090 |
| DOI: | 10.2147/jpr.s14455 |
| Popis: | Dessy R Emril1 Kok-Yuen Ho21Neurology Department, Syiah Kuala University/Dr Zainoel Abidin Hospital, Banda Aceh, Indonesia; 2Pain Management Centre, Raffles Hospital, SingaporeAbstract: Trigeminal neuralgia (TN) is a neuropathic pain condition affecting the face. It has a significant impact on the quality of life and physical function of patients. Evidence suggests that the likely etiology is vascular compression of the trigeminal nerve leading to focal demyelination and aberrant neural discharge. Secondary causes such as multiple sclerosis or brain tumors can also produce symptomatic TN. Treatment must be individualized to each patient. Carbamazepine remains the drug of choice in the first-line treatment of TN. Minimally invasive interventional pain therapies and surgery are possible options when drug therapy fails. Younger patients may benefit from microvascular decompression. Elderly patients with poor surgical risk may be more suitable for percutaneous trigeminal nerve rhizolysis. The technique of radiofrequency rhizolysis of the trigeminal nerve is described in detail in this review.Keywords: interventional treatment, minimally invasive, pain management, radiofrequency rhizolysis, trigeminal neuralgia |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|