Selective pulsed radiofrequency neurotomy of mandibular nerve in the treatment of trigeminal neuralgia following multiple sclerosis

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We report a 28-year-old patient with 10-year history of multiple sclerosis and trigeminal neuralgia. The woman complained of aggravation of pain and increased frequency of attacks up to 15—20 per day for the last 2 years. Considering selective distribution of pain in the area of mandibular nerve innervation, we performed selective radiofrequency neurotomy of mandibular nerve under CT-control. Procedure was followed by immediate regression of pain syndrome from 7 to 3 scores in accordance with numeric rating scale. There was no aggravation of neurologic deficit. Favorable clinical outcome with pain intensity up to 3 scores was observed after 5 months. The patient is not currently taking analgesic drugs.

Keywords:

trigeminal neuralgia

multiple sclerosis

mandibular branch

selective pulsed neurotomy

lateral access

foramen ovale

Authors:

Egorov O.E.

Sechenov First Moscow State Medical University of the Ministry of Health of Russia, Moscow, Russia

Evzikov G.Yu.

Sechenov First Moscow State Medical University, Clinic of Nervous Diseases, Rossolimo Str., 11, Moscow, Russia, 119021

List of references:

Tyurnikov VM, Peresedova AV, Gushcha AO, Koval KV. Experience of using percutaneous high-frequency selective rhizotomy for trigeminal neuralgia in multiple sclerosis. Voprosy neirokhirurgii im. N.N. Burdenko. 2015;(5):34-41. (In Russ.)
Katusic S, Beard CM, Bergstralh E, Kurland LT. Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945—1984. Annals of Neurology. 1990;27(1):89-95.
MacDonald BK, Cockerell OC, Sander JW, Shorvon SD. The incidence and lifetime prevalence of neurological disorders in a prospective community-based study in the UK. Brain. 2000;123(Pt 4):665-676.
Allenberg M, Haegerstam G. Invasive dental treatment, pain reports, and disease conviction in chronic facial pain patients: a prospective patients. Acta Odontologica Scandinavica. 1995;53(1):41.
Jensen TS, Rasmussen P, Reske-Nielsen E. Association of trigeminal neuralgia with multiple sclerosis: clinical and pathological features. Acta Neurologica Scandinavica. 1982;65(3):182-189.
Linderoth B, Håkanson S. Paroxysmal facial pain in disseminated sclerosis treated by retrogasserian glycerol injection. Acta Neurologica Scandinavica. 1989;80(4):341-346.
Rushton JG, Olafson RA: Trigeminal neuralgia associated with multiple sclerosis. A case report. Archives of Neurology. 1965;13(4):383-386.
Patel NK, Fuller G. Trigeminal neuralgia and its management. British Medical Journal. 2007;334(7586):201-205.
Brisman R. Trigeminal neuralgia and multiple sclerosis. Archives of Neurology. 1987;44(4):379-381.
Hooge JP, Redekop WK. Trigeminal neuralgia in multiple sclerosis. Neurology. 1995;45(7):1294-1296.
Kanpolat Y, Berk C, Savas A, Bekar A. Percutaneous controlled radiofrequency rhizotomy in the management of patients with trigeminal neuralgia due to multiple sclerosis. Acta Neurochirurgica. 2000;142:685-690.
Kanpolat Y, Savas A, Bekar A, Berk C. Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1.600 patients. Neurosurgery. 2001;48(3):524-534.
Berk C, Constantoyannis C, Honey CR. The treatment of trigeminal neuralgia in patients with multiple sclerosis using percutaneus radiofrequency rhizotomy. The Canadian Journal of Neurological Sciences. 2003;30(3):220-223.
Patwardhan RV, Minagar A, Kelley RE, Nanda A. Neurosurgical treatment of multiple sclerosis. Neurological Research. 2006;28(3):320-325.
Mohammad-Mohammadi A, Recinos PF, Lee JH, Elson P, Barnett GH. Surgical outcomes of trigeminal neuralgia in patients with multiple sclerosis. World Neurosurgery. 2013;73(6):941-950.
Akbas M, Gunduzb E, Sanlib S, Yegin A. Sphenopalatine ganglion pulsed radiofrequencytreatment in patients suffering from chronic face and head pain. Brazilian Journal of Anesthesiology. 2016;66(1):50-54. https://doi.org/10.1016/j.bjane.2014.06.001
Brown JA, Chittum CJ, Sabol D, Gouda JJ. Percutaneous balloon compression of the trigeminal nerve for treatment of neuralgia. Neurosurgical Focus. 1996;1(2):4-12.
Kondziolka D, Lunsford LD, Bissonette DJ. Long-term results after glycerol rhizotomy for multiple sclerosis-related trigeminal neuralgia. Canadian Journal of Neurological Sciences. 1994;21(2):137-140.
Pickett GE, Bisnaire D, Ferguson GG. Percutaneous retrogasserian glycerol rhizotomy in the treatment of tic douloureux associated with multiple sclerosis. Neurosurgery. 2005;56(3):537-545.
Matthew T, Bender. Glycerol rhizotomy and radiofrequency thermocoagulation for trigeminal neuralgia in multiple sclerosis. Journal of Neurosurgery. 2013;118(2):329-336. https://doi.org/10.3171/2012.9.JNS1226
Lopez BC, Hamlyn PJ, Zakrezewska JM. Systemic review of ablative neurosurgical techniques for the treatment of trigeminal neuralgia. Neurosurgery. 2004;54(4):973-982.
Nanjappa M, Kumaraswamy SV, Keerthi R, Ashwin DP, Gopinath AL, Reyazulla MA, Hemavathi KB. Percutaneous Radiofrequency Rhizotomy in Treatment of Trigeminal neuralgia: A Prospective Study. Journal of Maxillofacial and Oral Surgery. 2013;12(1):35-41. https://doi.org/10.1007/s12663-012-0365-7
Maciunas RJ. Trigeminal neuralgia. Innovative treatment options abound. Neurological Institute Journal. 2008;5-11.
Son BC, Kim HS, Kim IS, Yang SH, Lee SW. Percutaneous Radiofrequency Thermocoagulation under Fluoroscopic Image-Guidance for Idiopathic Trigeminal Neuralgia. Journal of Korean Neurosurgical Society. 2011;50(5):446-452. https://doi.org/10.3340/jkns.2011.50.5.446
Taha JM, Tew JM Jr, Buncher CR. A prospective 15-year follow-up of 154 consecutive patients with trigeminal neuralgia treated by percuta¬neous stereotactic radiofrequency thermal rhizotomy. Journal of Neurosurgery. 1995;83(6):989-993.
Siegfried J. 500 Percutaneous thermocoagulations of the Gasserian ganglion for trigeminal pain. Surgical Neurology. 1977;8(2):126-131.
Taha JM, Tew JM Jr. Comparison of surgical treatments for trigeminal neuralgia: reevaluation of radiofrequency rhizotomy. Neurosurgery. 1996;38(5):865-871.
Bale RJ, Laimer I, Martin A, Schlager A, Mayr C, Rieger M, Czermak BV, Kovacs P, Widmann G. Frameless stereotactic cannulation of the foramen ovale for ablative treatment of trigeminal neuralgia. Neurosurgery. 2006;59(4 suppl 2):394-401.
Xu SJ, Zhang WH, Chen T, Wu CY, Zhou MD. Neuronavigator-guided percutaneous radiofrequency thermocoagulation in the treatment of intractable trigeminal neuralgia. Chinese Medical Journal. 2006;119(18):1528-1535.
Patil AA. Stereotactic approach to the trigeminal ganglion using a stereotactic frame and intraoperative computed tomography scans: technical note. Stereotactic and Functional Neurosurgery. 2010;88(5):277-280. https://doi.org/10.1159/000316759
Koizuka S, Saito S, Kubo K, Tomioka A, Takazawa T, Sakurazawa S, Goto F. Percutaneous Radio-Frequency Mandibular Nerve Rhizotomy Guided by CT Fluoroscopy. AJNR. American Journal of Neuroradiology. 2006;27(8):1647-1648.
Koizuka S, Saito S, Tobe M, Sekimoto K, Obata H, Koyama Y. Technical communication: percutaneous radiofrequency mandibular nerve rhizotomy guided by high-speed real-time computed tomography fluoroscopy. Anesthesia and Analgesia. 2010;111(3):763-767. https://doi.org/10.1213/ANE.0b013e3181e5e8d6
Smith HP, McWhorter JM, Challa VR. Radiofrequency neurolysis in a clinical model. Neuropathological correlation. Journal of Neurosurgery. 1981;55(2):246-253.
Tanaka N, Yamaga M, Tateyama S, Uno T, Tsuneyoshi I, Takasaki M. The effect of pulsed radiofrequency current on mechanical allodynia induced with resiniferatoxin in rats. Anesthesia and Analgesia. 2010;111(3):784-790. https://doi.org/10.1213/ANE.0b013e3181e9f62f
Mikeladze G, Espinal R, Finnegan R, Routon J, Martin D. Pulsed radiofrequency application in treatment of chronic zygapophyseal joint pain. The Spine Journal: Official Journal of the North American Spine Society. 2003;3(5):360-362.
Imani F. Using pulsed radiofrequency for chronic pain. Anesthesiology and Pain Medicine. 2012;1(3):155-156. https://doi.org/10.5812/kowsar.22287523.4047
Erdine S, Ozyalcin NS, Cimen A, Celik M, Talu GK, Disci R. Comparison of pulsed radiofrequency with conventional radiofrequency in the treatment of idiopathic trigeminal neuralgia. European Journal of Pain. 2007;11(3):309-313.
Zakrzewska JM, Akram H. Neurosurgical interventions for the treatment of classical trigeminal neuralgia. The Cochrane Database of Systematic Reviews. 2011;7:CD007312.
Chua NHL, Halim W, Beems T, Vissers KCP. Pulsed radiofrequency treatment for trigeminal neuralgia. Anesthesiology and Pain Medicine. 2012;1(4):257-261.

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