Giant ulcer of the face following surgery for trigeminal neuralgia

1967 ◽  
Vol 119 (2) ◽  
pp. 218-222 ◽  
Author(s):  
I. S. Cliff
Keyword(s):  
Trigeminal Neuralgia ◽  
The Face

scholarly journals A prospective study of 39 patients with trigeminal neuralgia treated with percutaneous balloon compression

2011 ◽  
Vol 69 (2a) ◽  
pp. 221-226 ◽  
Author(s):  
Wuilker Knoner Campos ◽  
Marcelo N. Linhares
Keyword(s):  
Trigeminal Neuralgia ◽  
Female Gender ◽  
Safe Procedure ◽  
Approval Ratings ◽  
Balloon Compression ◽  
Percutaneous Balloon ◽  
Percutaneous Balloon Compression ◽  
The Face ◽  
The Right ◽  
A Prospective Study

OBJECTIVE: Trigeminal neuralgia is the most common facial pain. It may be treated with percutaneous balloon compression (PBC), which is considered to be a safe and efficient procedure. The purpose of this study was to review our results with PBC and to assess the factors influencing the outcome. METHOD: A multivariate analysis was used to study 39 patients during a 50-month postoperative period. RESULTS: There was predominance of the female gender (54%), the right side of the face (84%) and V2V3 roots of trigeminal nerve (33%). The mean age was 62.3 years. No major complications or deaths occurred. Among all variables, postoperative hypoesthesia was the single prognostic factor capable of positively influencing the results (p=0.02). Most patients (80%) were pain-free after 50 months with a 90% satisfaction rate. CONCLUSION: PBC was a safe procedure with low morbidity, no mortality, high approval ratings, and was an important improving on patients' quality of life.

Idiopathic Trigeminal Neuralgia: A Case Report

2018 ◽  
Vol 31 (04) ◽  
pp. 254-258
Author(s):  
Shruti Jain ◽  
Chetna Lamba
Keyword(s):  
Case Report ◽  
Pain Relief ◽  
Trigeminal Neuralgia ◽  
Facial Pain ◽  
Conventional Medicine ◽  
Positive Role ◽  
Idiopathic Trigeminal Neuralgia ◽  
Adequate Pain Relief ◽  
The Face

AbstractTrigeminal neuralgia (TN) is the most frequent type of neuropathic facial pain affecting one or more branches of trigeminal nerve. Here, a 51-year-old woman diagnosed with idiopathic trigeminal neuralgia (ITN) presented with complaints of pain over right side of the face with redness of the eyes and excessive lachrymation since 5 years with weekly acute episodes of shooting pain. Chelidonium was chiefly prescribed followed by few doses of Spigelia as per indications which provided adequate pain relief. The complaints flared up following stressful circumstances for which Pulsatilla was prescribed after detailed case taking. The frequency, duration and intensity of pain reduced after homoeopathic treatment. The need for conventional medicine was also reduced. This suggests positive role of individualised homoeopathy in the treatment of ITN. Further studies should be undertaken to evaluate the role of homoeopathy in ITN.

Trigeminal neuralgia treated by differential percutaneous radiofrequency coagulation of the Gasserian ganglion

1974 ◽  
Vol 40 (4) ◽  
pp. 517-523 ◽  
Author(s):  
G. Robert Nugent ◽  
Bruce Berry
Keyword(s):  
Trigeminal Neuralgia ◽  
Percutaneous Penetration ◽  
Anesthetic Techniques ◽  
Gasserian Ganglion ◽  
Foramen Ovale ◽  
Content Type ◽  
The Face ◽  
Touch Sensation ◽  
Radiofrequency Coagulation ◽  
Radiographic Landmarks

✓ The authors describe surgical and anesthetic techniques for the treatment of trigeminal neuralgia by radiofrequency coagulation. Using radiographic landmarks derived from a stereotaxic study of 54 cadaver skulls, they delineate lateral and anteroposterior guidelines which aid in the percutaneous penetration of the foramen ovale. Controlled lesions can be made selectively in any division of the trigeminal nerve. The procedure has been effective in abolishing pain usually with preservation of touch sensation in the face. The percutaneous operation has the added advantage of a short hospitalization, usually 2 days. Of the 65 patients treated, only one still has the pain of trigeminal neuralgia. In six instances the procedure had to be repeated because insufficient sensory deficit was produced by the initial lesion. Three patients have developed anesthesia dolorosa; however, none has developed facial paralysis.

scholarly journals Historical aspects of the problem of treatment of trigeminal neuralgia and the role of neurosurgical methods in its solution (literature review)

2021 ◽  
Vol 6 (4) ◽  
pp. 123-136
Author(s):  
A. N. Zhurkin ◽  
A. V. Semenov ◽  
V. A. Sorokovikov ◽  
N. V. Bartul
Keyword(s):  
Trigeminal Neuralgia ◽  
Trigeminal Nerve ◽  
Microvascular Decompression ◽  
Surgical Techniques ◽  
Pain Syndrome ◽  
World Health ◽  
Vascular Compression ◽  
Neurogenic Pain ◽  
Surgical Methods ◽  
The Face

The trigeminal nerve is a mixed fifth cranial nerve, consisting of motor and sensory components. The sensitive component receives somesthetic information from the skin and mucous membranes of the face into the central nervous system, and the motor component is responsible for the innervation of chewing muscles. One of the manifestations of the pathology of the trigeminal nerve is pain syndrome. Trigeminal neuralgia occupies the main place among neurogenic pain syndrome in the face, is characterized by а severe course and the absence of sufficiently effective methods of treatment. According to the World Health Organization (WHO), the prevalence of trigeminal neuralgia in different countries is 2–5 cases per 100 thousand people per year. Trigeminal neuralgia is classified into 3 etiologic categories. Idiopathic trigeminal neuralgia occurs without apparent cause. Classical trigeminal neuralgia is caused by vascular compression of the trigeminal nerve root. Secondary trigeminal neuralgia is the consequence of a major neurologic disease, e. g., a tumor of the cеrеbеllоpоntine angle or multiple sclerosis. Today, there are many different options for the surgical treatment of trigeminal neuralgia. microvascular decompression of the root, radiosurgical destruction of the Gasser’s node, radiofrequency destruction, glycerol rhizotomy, balloon microcompression are considered the main effective and proven surgical methods for treating trigeminal neuralgia. But the questions of diagnosing the cause of the disease and choosing an adequate surgical method for treating therapeutically resistant trigeminal neuralgia for a particular patient remain open. The development of surgical methods begins from ancient times to the present day. The main stages in the development of neurosurgical treatment methods are presented. The following surgical techniques are described: open method – microvascular decompression, and closed percutaneous destructive methods – radiofrequency destruction, glycerol rhizotomy, balloon compression, radiosurgery, cryodestruction, laser destruction, botulinum toxin injections.

Trigeminal Neuralgia

2018 ◽  
Author(s):  
Jumana T. Alshaikh ◽  
Shaan Sudhakaran ◽  
Helene Rubeiz
Keyword(s):  
Trigeminal Neuralgia ◽  
Age Of Onset ◽  
Neurovascular Compression ◽  
First Line ◽  
Risks And Benefits ◽  
Female Predominance ◽  
Structural Abnormalities ◽  
The Face ◽  
Physical Stimuli ◽  
Sixth Decade

Trigeminal neuralgia is characterized by severe, unilateral, paroxysmal stabbing pain affecting the face in the distribution of one of the divisions of the trigeminal nerve. The episodes of pain are brief and are triggered by innocuous physical stimuli. Typical age of onset is the sixth decade, with a female predominance. The most common cause is neurovascular compression. Other causes include multiple sclerosis and structural abnormalities in the cerebellopontine angle. The diagnosis is made clinically, but MRI can be useful in evaluation of the underlying etiology. First-line pharmacotherapy is carbamazepine or oxcarbazepine. If medical therapy fails, procedural interventions should be considered. From ablations to craniotomy, there is an array of procedural treatments available for trigeminal neuralgia. Patients should be educated on the risks and benefits of each procedure prior to pursuing treatment.

scholarly journals Study to assess the status of bupivacaine hydrochloride in the management of essential trigeminal neuralgia

2014 ◽  
Vol 26 (1-2) ◽  
pp. 30-33
Author(s):  
Shohda Khatun ◽  
Ashis Kumar Biswas ◽  
Rajan Karmakar ◽  
Sojeeb Dhar ◽  
Mst. Mahbuba Kafia Parvin
Keyword(s):  
Side Effects ◽  
Trigeminal Neuralgia ◽  
High Dose ◽  
Rare Form ◽  
Trigeminal Neuropathic Pain ◽  
Bupivacaine Hydrochloride ◽  
Significant Difference ◽  
The Status ◽  
The Face ◽  
Paroxysmal Pain

Trigeminal neuralgia (TN) is a rare form of neuropathic facial pain characterized by severe paroxysmal pain in the face. The treatment of trigeminal neuropathic pain disorder is a major therapeutic challenge. Medical therapy often fails either due to poor responses to drugs or to unacceptable side effects and for those cases local anesthesia should be considered. Twenty patients (nine men and eleven women) who were diagnosed with TN previously and were not responsive to further medical treatment were selected for treatment. For this study, the affected nerve was blocked with 1.5 ml of 0.5% bupivacaine HCl. Patient’s visual analogue scores (VAS) were recorded on preoperative day and on post operative at day 3, 7days, 15 days. There was a significant difference between mean preoperative and postoperative VAS value. Preoperative value was 83.10± 6.06, at postoperative 3 days was 39.60 ± 7.86, at postoperative 7 days was 16.25 ± 6.46 and at postoperative 15 days was 3.30 ± 3.19. So it can be concluded that administration of 1.5 ml of 0.5% bupivacaine HCl nerve block at regular interval can be used as treatment for patients who are affected by the side effects from high-dose antiepileptic drugs. http://dx.doi.org/10.3329/bjpp.v26i1-2.19965 Bangladesh J Physiol Pharmacol 2010; 26(1&2) : 30-33

scholarly journals Comparison of Trigeminal and Postherpetic Neuralgia

1996 ◽  
Vol 1 (2) ◽  
pp. 125-129
Author(s):  
C Peter N Watson
Keyword(s):  
Trigeminal Neuralgia ◽  
Postherpetic Neuralgia ◽  
Facial Pain ◽  
Tic Douloureux ◽  
Common Causes ◽  
The Face ◽  
Lancinating Pain

Although postherpetic neuralgia and trigeminal neuralgia (tic douloureux) are common causes of facial pain, they have very little in common aside from lancinating pain (other qualities of pain in each disorder are different). Each disorder affects different areas of the face and the treatment of each is quite dissimilar. The pathogenesis of these two disorders quite likely involves different mechanisms. This report reviews aspects of these two difficult pain problems, particularly with reference to the work of the late Gerhard Fromm, to whom this is dedicated.

Trigeminal Neuralgia: Microvascular Decompression is the Ultimate Answer

2019 ◽  
Vol 8 (2) ◽  
pp. 105-107
Author(s):  
Md Aminul Islam ◽  
Rajib Shahriar ◽  
Rukun Uddin Chowdhury ◽  
MAA Salek
Keyword(s):  
Trigeminal Neuralgia ◽  
Severe Pain ◽  
Clinical Presentation ◽  
Treatment Approach ◽  
Clinical History ◽  
Final Diagnosis ◽  
History Taking ◽  
Resonance Imaging ◽  
The Face ◽  
Trigger Zone

Trigeminal neuralgia also known as ‘Fothergill’s disease’ or ‘tic douloureux’ is a very peculiar disease. The severe pain is paroxystic and can be triggered by a mild cutaneous stimulus on the face or “trigger zone”. The disease has a wide variety of etiology and clinical presentation. The management will include both medical and a surgical approach. A 58-year-old female patient had reported with a complaint of pain for 8 years. On thorough history taking and clinical examination, we were able to confirm the final diagnosis as trigeminal neuralgia (TN). We present a case of trigeminal neuralgia of the maxillary and mandibular division along with clinical history, MRI (Magnetic Resonance Imaging) findings and treatment approach. Bang. J Neurosurgery 2019; 8(2): 105-107

scholarly journals Occlusion of maxillary artery in treatment of trigeminal neuralgia

2012 ◽  
Vol 65 (7-8) ◽  
pp. 281-284 ◽  
Author(s):  
Vesna Novak ◽  
Petar Bosnjakovic ◽  
Sasa Ristic ◽  
Aleksandar Kostic ◽  
Boban Jelenkovic ◽  
...  
Keyword(s):  
Trigeminal Neuralgia ◽  
Base Material ◽  
Subjective Assessment ◽  
Original Method ◽  
Maxillary Artery ◽  
Artery Ligation ◽  
Carotid Artery Ligation ◽  
Vascular Elements ◽  
Electrophysiological Method ◽  
The Face

Introduction. This paper deals with a treating method of trigeminal neuralgia classified so far as idiopathic neuralgias and treated conservatively. The study was aimed at proving the compression of peripheral branches of n. trigeminus in those patients by vascular elements of a. maxillaris within the bone-ligament space of the scull and the face base. Material and Methods. The study sample consisted of 76 patients having trigeminal neuralgia. The compression was proved by clinical examination, by angiography and electrophysiological investigations. Endovascular occlusion of a. maxillaris is the original method and it was carried out in selected patients. Results. This method was applied in 76 patients. Embolisation was done in 71 patients by using occlusion spiral and gelfoan was used in 3 patients. Externa carotid artery ligation was done in 2 cases. Conclusion. The effect of absolute improvement has been achieved and verified by electrophysiological method and subjective assessment of the patients.

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