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삼차신경통 환자에서 안와상 신경과 활차상 신경에 시행한 박동성 고주파술에 의한 치료경험−증례보고−
서귀주,김종해,송석영,노운석,신흥동,정진용 대한통증학회 2009 The Korean Journal of Pain Vol.22 No.2
Pharmacological management is the first choice for treatment of the trigeminal neuralgia patients; however, if this mode of treatment fails a minimally invasive procedure should be performed. One of the most commonly used procedures is conventional radiofrequency lesioning of the Gasserian ganglion. Despite its popularity and success rate, this technique has disadvantages such as diminished corneal reflex, masseter weakness, numbness and anesthesia dolorosa. As a result, many studies have been conducted in an attempt to find a better method of treating trigeminal neuralgia. We report here a case of a trigeminal neuralgia patient that was treated with pulsed radiofrequency lesioning of the supraorbital and supratrochlear nerve due to pain in the frontal head that was refractory to the pharmacological treatments. Following the procedure, the Visual Analogue Scale score for pain decreased to 1−2/10 and the pain relief persisted for 7 months. These results indicate that pulsed radiofrequency treatment of the peripheral nerve may be useful for trigeminal neuralgia patients that do not respond to pharmacological treatments.
삼차신경통 환자에서 안와상 신경과 활차상 신경에 시행한 박동성 고주파술에 의한 치료경험 -증례보고-
서귀주,신흥동,김종해,송석영,노운석,정진용,Seo, Kwi Chu,Shin, Heung Dong,Kim, Jong Hae,Song, Seok Young,Rho, Woon Seok,Chung, Jin Yong 대한통증학회 2009 The Korean Journal of Pain Vol.22 No.2
Pharmacological management is the first choice for treatment of the trigeminal neuralgia patients; however, if this mode of treatment fails a minimally invasive procedure should be performed. One of the most commonly used procedures is conventional radiofrequency lesioning of the Gasserian ganglion. Despite its popularity and success rate, this technique has disadvantages such as diminished corneal reflex, masseter weakness, numbness and anesthesia dolorosa. As a result, many studies have been conducted in an attempt to find a better method of treating trigeminal neuralgia. We report here a case of a trigeminal neuralgia patient that was treated with pulsed radiofrequency lesioning of the supraorbital and supratrochlear nerve due to pain in the frontal head that was refractory to the pharmacological treatments. Following the procedure, the Visual Analogue Scale score for pain decreased to 1-2/10 and the pain relief persisted for 7 months. These results indicate that pulsed radiofrequency treatment of the peripheral nerve may be useful for trigeminal neuralgia patients that do not respond to pharmacological treatments.
이진영,Woo Seog Sim,Duk-Kyung Kim,박휴정,Min Seok Oh,Jieun Lee 대한마취통증의학회 2014 Anesthesia and pain medicine Vol.9 No.2
Pulsed radiofrequency treatment has an analgesic effect byneuromodulation of the central pain pathway without neural injury. However, lack of knowledge regarding the exact mechanism onneuropathic pain makes the use of pulsed radiofrequency treatmentcontroversial. Here, we describe a case of satisfactory pain reliefafter ultrasound-guided pulsed radiofrequency treatment in a patientwith supraorbital herpetic pain refractory to medication. This caseindicates the potential of ultrasound-guided pulsed radiofrequencytreatment in patients with postherpetic supraorbital neuralgia.