Background & Aims
Trigeminal herpetic neuralgia (THN) presents with severe pain, allodynia. The current clinical treatments are unsatisfactory. This pilot study aimed to evaluate the efficacy of short-term trigeminal ganglion stimulation in treating patients with multi-branch THN.
Methods
From July 2021 to October 2022, we enrolled 20 cases of multi-branch THN who received short-term trigeminal ganglion stimulation under general anesthesia. The Visual analog scale (VAS) and Pittsburgh sleep quality index (PSQI) were used to assess the pain and sleep before and 12 months after the surgery, respectively. The Barrow Neurological Institute (BNI) score was used to determine the outcome of pain relief, which was classified as good (BNI I – II) or bad (BNI III – V), and complications were recorded.
Results
The pain intensity and sleep quality of all patients who underwent trigeminal ganglion stimulation in the present study were significantly improved compared to those before the surgery (P < 0.001). The good rate of BNI score was 80% and 85% in 3 and 12 months after surgery. During the surgery, 2 patients experienced transient trigeminal cardiac reflex. There were no other serious complications.
Conclusions
Short-term trigeminal ganglion stimulation can be used safely and effectively to treat patients with multi-branch THN.
References
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Presenting Author
Yi Yan
Poster Authors
Yi Yan PhD
PHD
The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, China
Lead Author
Daying Zhang
The First Affiliated Hospital of Nanchang University
Lead Author
Yong Zhang
The First Affiliated Hospital, Jiangxi Medical College, Nanchang University
Lead Author
Mengye Zhu
The First Affiliated Hospital of Nanchang University
Lead Author
Topics
- Treatment/Management: Interventional Therapies – Neuromodulation