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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
[Bilateral trigeminal neuralgia: case report].
Caio Marcio Barros de Oliveira1, Luis Gustavo Baaklini, Adriana Machado Issy
1EPM, UNIFESP. caio.oliveira@unifesp.br
Revista Brasileira De Anestesiologia
|August 12, 2009
Summary
This case report details a rare instance of bilateral trigeminal neuralgia, highlighting gabapentin
Area of Science:
- Neurology
- Pain Management
Background:
- Trigeminal neuralgia (TN) is a severe neuropathic pain condition.
- Bilateral TN is rare, affecting only 3% of patients.
Observation:
- A 61-year-old female presented with a six-year history of unilateral TN.
- She developed contralateral symptoms, indicating bilateral TN.
- Standard treatments like carbamazepine were ineffective.
Findings:
- Gabapentin and amitriptyline provided partial pain relief.
- Dosage adjustments of gabapentin managed bilateral symptoms effectively.
- Head CT and MRI revealed no abnormalities.
Implications:
- Gabapentin is a viable option for refractory trigeminal neuralgia.
- This case expands understanding of bilateral TN management.
- Further research into non-conventional TN treatments is warranted.