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Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
Trigeminal branch stimulation for intractable neuropathic pain: technical note.
Konstantin V Slavin1, Christian Wess
1Department of Neurosurgery, University of Illinois at Chicago, Chicago, Illinois.
Neuromodulation : Journal of the International Neuromodulation Society
|December 14, 2011
Summary
Peripheral nerve stimulation of the infraorbital and supraorbital nerves offers a new treatment for intractable neuropathic facial pain. This technique provides long-lasting pain relief with minimal complications in selected patients.
Area of Science:
- Neurology
- Neurosurgery
- Pain Management
Background:
- Intractable neuropathic facial pain from trigeminal nerve injury poses significant clinical challenges.
- Current treatments for such conditions are often insufficient or invasive.
Purpose of the Study:
- To describe a technique for peripheral nerve stimulation of the infraorbital and supraorbital nerves.
- To evaluate the efficacy and safety of this technique for treating medically intractable facial pain.
Main Methods:
- Percutaneous insertion of electrodes targeting infraorbital or supraorbital nerves under fluoroscopic guidance.
- A trial period with temporary electrodes, followed by permanent implantation if successful.
- Implantation of a pulse generator in an infraclavicular pocket.
Main Results:
- Successful pain relief in patients with neuropathic trigeminal pain of various causes.
- Long-lasting pain relief achieved after permanent electrode implantation.
- Complications were rare and minor.
Conclusions:
- Trigeminal branch stimulation is a simple and effective technique for selected patients.
- This method offers an alternative to destructive procedures for intractable facial pain.
- Peripheral nerve stimulation provides a viable option for managing neuropathic pain in the trigeminal nerve distribution.
