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Related Experiment Videos

Bilateral trigeminal neuralgia.

R Brisman

    Journal of Neurosurgery
    |July 1, 1987
    PubMed
    Summary
    This summary is machine-generated.

    Radiofrequency electrocoagulation (RFE) effectively treats bilateral trigeminal neuralgia, a condition affecting 11.9% of patients. This study highlights RFE

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    Area of Science:

    • Neurosurgery
    • Pain Management

    Background:

    • Bilateral trigeminal neuralgia presents unique challenges in pain management.
    • Previous studies may have underestimated the incidence of bilateral trigeminal neuralgia.

    Purpose of the Study:

    • To report the incidence of bilateral trigeminal neuralgia in patients undergoing radiofrequency electrocoagulation (RFE).
    • To evaluate the efficacy and safety of percutaneous RFE for bilateral trigeminal neuralgia.

    Main Methods:

    • Prospective study of 269 consecutive patients treated with percutaneous radiofrequency electrocoagulation (RFE).
    • Inclusion of patients with mild bilateral symptoms and long-term follow-up.
    • Assessment of predisposing factors, including multiple sclerosis and prior surgical history.

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    Main Results:

    • Bilateral trigeminal neuralgia occurred in 11.9% of patients, a higher incidence than previously reported.
    • Multiple sclerosis was the most common predisposing factor (18% of bilateral cases).
    • Percutaneous RFE demonstrated effectiveness in managing intractable pain with preserved trigeminal functions and low morbidity.

    Conclusions:

    • Percutaneous RFE is an effective treatment for intractable bilateral trigeminal neuralgia.
    • The procedure offers advantages such as preservation of neurological function and repeatability, especially for bilateral cases.
    • Prospective study design and extended follow-up may explain the observed higher incidence of bilateral trigeminal neuralgia.