Artículos de revistas
Pulsed radiofrequency of superior cervical ganglion for treatment of painful post-traumatic trigeminal neuropathy (PTTN): A case series report
Fecha
2019Registro en:
Carcamo, C. R., Hormazabal, F. A., Gutierrez, F. I., & Carmona, A. P. (2019). Pulsed radiofrequency of superior cervical ganglion for treatment of painful post-traumatic trigeminal neuropathy (PTTN): A case series report. CRANIO®, 1-8.
0886-9634
2151-0903
DOI: 10.1080/08869634.2019.1692284
Autor
Gutiérrez, Felipe, I. [Univ Mayor, Maxillofacial Surg & Traumatol, Santiago, Chile]
Cárcamo, César R.
Hormazabal, Fernando A.
Carmona, Andrea P.
Institución
Resumen
Objective: Painful post-traumatic trigeminal neuropathy (PTTN) is a clinical pain syndrome that occurs due to injuries to the peripheral branches of the trigeminal nerve and is characterized by a deep burning pain and accompanied by positive and negative neurological signs. In patients with recalcitrant PTTN, the sympathetic nervous system is a potential therapeutic target. The aim of this study was to investigate the therapeutic response of PTTN patients to pulsed radiofrequency treatment (PRF) of the superior cervical sympathetic ganglion (SCG). Methods: Thirty-five patients with PTTN who had a history of severe disabling facial neuropathic pain underwent PRF of the SCG under a new lateral fluoroscopic approach. Results: The patients' pain intensity post-PRF was 3.94 (+/- 3.11), compared with 8.82 (+/- 1.27) pre-PRF (p < .001). Conclusion: PRF of the SCG could be an effective method to treat chronic PTTN.