Artikel Jurnal
Single cycle, low temperature radiofrequency ablation is effective for trigeminal neuralgia
Background & Objective:Trigeminal neuralgia (TN) is the most common cause of neuropathic pain with few issues regarding medications whereas surgeries need careful consideration. Radiofrequency ablation (RFA) can be used as an intervention treatment bridging the gap of long-termmedication and surgical intervention. RFA procedure has its own complications following electrode placement and ablation procedures. Weanalyzedthe effectiveness of low temperature RFA treatment inpatientswith trigeminal neuralgia. Methodology:This study was aprospective analysis of the data from the medical recordsof21 patients. A single cycle of RFA at 60° C of for 90 sec was performed from November 2018 to July2019. Data collection included preoperativepain scores, analgesics prescribed, pain scores on numerical rating scale (NRS) for 6 months follow up. Results:The subjects 53.86 ± 10.48 y (43% men and 57% women) observed NRS decrease significantly (mean 2.15, SD 0.9; p < 0.05). No significant influence of analgesic combination gabapentin and Amitriptyline, or carbamazepine and Amitriptyline to pain spectrum improvement underwent RFA. Conclusion:A single cycle of of RFA treatment at 60° C for 90 sec among TN patients showed significant improvement of pain at 6 months without complications. Abbreviations: TN:trigeminal neuralgia; NMDA:N-methyl-d-aspartate GABA:gamma aminobutyric acid; TCA:tricyclic antidepressant; MVD:microvascular decompression; RFA:radiofrequency ablation; PRF:pulsed radiofrequency; NRS:numerical rating score; SNRI:serotonin-norepinephrine reuptake inhibitorKeywords:Trigeminal Neuralgia;GasserianGanglion;Radiofrequency;Neuroablation;Pain
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