scholarly journals Effectiveness of peripheral neurectomy in refractory cases of trigeminal neuralgia

2016 ◽  
Vol 8 (2) ◽  
pp. 86 ◽  
Author(s):  
NarayanSharma Lamichhane ◽  
Xiaoyan Du ◽  
Shanchang Li ◽  
DhrubaChandra Poudel
Keyword(s):  
Trigeminal Neuralgia ◽  
Peripheral Neurectomy

Are peripheral neurectomies of value in the treatment of trigeminal neuralgia? An analysis of new cases and cases involving previous radiofrequency gasserian thermocoagulation

1996 ◽  
Vol 85 (3) ◽  
pp. 435-437 ◽  
Author(s):  
Raj Murali ◽  
Richard L. Rovit
Keyword(s):  
Trigeminal Neuralgia ◽  
Elderly Patients ◽  
Excellent Result ◽  
Safe Procedure ◽  
Content Type ◽  
Limited Life ◽  
Experienced Pain ◽  
Good Pain Relief ◽  
Peripheral Neurectomy ◽  
Fine Print

✓ The indications, advantages, complications, and benefits of peripheral neurectomy in patients with trigeminal neuralgia were studied in detail in 40 patients treated between 1982 and 1991. Twenty-eight patients had previously received radiofrequency thermocoagulation; peripheral neurectomy was performed for pain recurrence. These patients had excellent or good pain relief for at least 5 years postsurgery. Of the 12 patients who had peripheral neurectomy as their only procedure, seven had an excellent result and five had a good result. Five of the patients had recurrence of pain after 2 years but responded well to a second neurectomy. Elderly patients who experienced pain in the first and second divisions of the trigeminal distributions were the best candidates. Peripheral neurectomy is an effective, safe procedure for elderly patients who suffer from trigeminal neuralgia and have a limited life span.

Peripheral Neurectomy for Treatment of Trigeminal Neuralgia

2020 ◽  
pp. 207-214
Author(s):  
Priodarshi Roychoudhury ◽  
Andrés Rocha Romero ◽  
Ahmed Raslan ◽  
Alaa Abd-Elsayed
Keyword(s):  
Trigeminal Neuralgia ◽  
Peripheral Neurectomy

scholarly journals Role of transcutaneous electric nerve stimulation in the management of trigeminal neuralgia

2011 ◽  
Vol 02 (02) ◽  
pp. 150-152 ◽  
Author(s):  
Sanju Singla ◽  
Vikram Prabhakar ◽  
Rajan Kumar Singla
Keyword(s):  
Trigeminal Neuralgia ◽  
Functional Outcome ◽  
Nerve Stimulation ◽  
Pain Scale ◽  
Treatment Modalities ◽  
Transcutaneous Electric Nerve Stimulation ◽  
Non Invasive ◽  
Medicinal Treatment ◽  
Peripheral Neurectomy ◽  
Electric Nerve Stimulation

ABSTRACT Background: Trigeminal neuralgia typically involves nerves supplying teeth, jaws and face of older females. Though the etiology is usually obscure, different treatment modalities have been tried for it viz. medicinal treatment, injection alcohol, peripheral neurectomy, rhizotomy, and microvascular decompression etc. Transcutaneous electric nerve stimulation (TENS) is an emerging and promising option for management of such patients. Aims and Design: The present study was designed with an aim to study the efficacy of TENS in management of trigeminal neuralgia. Materials and Methods: The study was conducted on 30 patients of trigeminal neuralgia confirmed by diagnostic nerve block. They were given bursts of TENS for 20-40 days over the path of the affected nerve and subsequently evaluated at 1 month and 3 month intervals by visual analogue scale (VAS), verbal pain scale (VPS), a functional outcome scales for main daily activities like sleep, chewing, talking, or washing face. Results: The results showed that, on VAS, the score decreased from 8.9 (Pre TENS) to 3.1 at 1 month and 1.3 at 3 months, and on VPS, the score decreased from 3.5 (Pre TENS) to 1.2 at 1 month and 0.3 at 3 months. Similarly, a considerable decrease in scores was seen on functional outcome scale for different activities. No side effects like irritation or redness of skin were seen in any of the patients. Conclusions: Thus, TENS was found to be a safe, easily acceptable, and non-invasive outdoor patient department procedure for management of trigeminal neuralgia.

scholarly journals Revisiting the Corneal and Blink Reflexes for Primary and Secondary Trigeminal Facial Pain Differentiation

2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Zafar Ali Khan
Keyword(s):  
Trigeminal Neuralgia ◽  
Surgical Procedures ◽  
Facial Pain ◽  
Anatomical Location ◽  
Treatment Interventions ◽  
Significant Information ◽  
Clinical Methods ◽  
Corneal Reflex ◽  
The Central Nervous System ◽  
Peripheral Neurectomy

Trigeminal neuralgia is often misdiagnosed at initial presentation due to close connotation with dental pain and is often over diagnosed for the very same reasons leading to numerous unnecessary surgical procedures such as peripheral neurectomy and alcohol injections, while the actual cause may remain elusive for decades. Evaluation of the neurosensory system may disclose the correct anatomical location of the etiology. The neurological examination may be clouded by the sensory deficits subsequent to previous peripheral surgical procedures. The corneal and blink reflexes are integral measures of the trigeminal and facial neurosensory assessment, and their abnormal function may facilitate the identification of intrinsic disease of the brain stem. These reflexes can be employed to discover pathological lesions including intracranial space-occupying trigeminal, lateral medullary, cerebral hemispheric lesions, and degenerative diseases of the central nervous system. Dental surgeons and oral and maxillofacial surgeons should consider corneal reflex in neurological assessment of patient presenting with trigeminal neuralgia-like symptoms. Failure to evaluate corneal sensitivity may lead to delayed or inaccurate diagnosis and unsuitable or redundant treatment interventions. This simple noninvasive reflex can be performed by chair-side and may provide significant information regarding the origin of facial pain and is an invaluable part of clinical methods especially in remote and peripheral healthcare center practitioners where sophisticated radiographic investigations such as computed tomography and magnetic resonance imaging may not be available.

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