Peripheral Nerve Stimulation for Refractory Trigeminal Pain: Recent Single-Institution Case Series With Long-Term Follow-Up and Review of the Literature

Bina, Robert; Palsma, Ryan; Weinand, Martin E.; Kasoff, Willard S.

doi:10.1111/ner.13132

Cited by 13 publications

(18 citation statements)

References 31 publications

(42 reference statements)

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“…Subsequently, the full text of 37 potentially eligible references were reviewed and 24 additional studies were excluded according to exclusion criteria. Finally, 13 studies with a total of 221 patients were included in this study (17–19,21,23,26–33). The flow chart of the publication search is shown in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Consistent with our previous findings, the long‐term response rate was about 67% in PHN patients undergoing ophthalmic neuromodulation (19). Meanwhile, five studies reported the administration of PNS for trigeminal neuralgia (21,26,27,33). Both classic and secondary trigeminal neuralgia may be considered for PNS implantation.…”

Section: Discussionmentioning

confidence: 99%

“…The first division of the trigeminal nerve was the most widely implanted target site across the studies analyzed, usually with supraorbital and infraorbital nerve stimulation (47). Targeting a combination of trigeminal or the other peripheral branches like occipital nerve has also been used to provide supplementary relief from pain (21,26,33).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Implantable Peripheral Nerve Stimulation for Trigeminal Neuropathic Pain: A Systematic Review and Meta-Analysis

Yang

Han

et al. 2021

Neuromodulation: Technology at the Neural Interface

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Implantable Peripheral Nerve Stimulation for Trigeminal Neuropathic Pain: A Systematic Review and Meta-Analysis

Yang

Han

et al. 2021

Neuromodulation: Technology at the Neural Interface

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“…Gamma knife stereotactic radiosurgery (GKRS) is a minimally invasive approach for the management of trigeminal neuralgia refractory to medication [ 66 , 67 ]. Gamma knife radiosurgery (GKRS) produces axonal degeneration, ion channel destruction, and an electrophysiologic block that reduces nociceptive input [ 56 ].…”

Section: Discussionmentioning

confidence: 99%

Chronic Facial Pain: Trigeminal Neuralgia, Persistent Idiopathic Facial Pain, and Myofascial Pain Syndrome—An Evidence-Based Narrative Review and Etiological Hypothesis

Gerwin

2020

IJERPH

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Trigeminal neuralgia (TN), the most common form of severe facial pain, may be confused with an ill-defined persistent idiopathic facial pain (PIFP). Facial pain is reviewed and a detailed discussion of TN and PIFP is presented. A possible cause for PIFP is proposed. (1) Methods: Databases were searched for articles related to facial pain, TN, and PIFP. Relevant articles were selected, and all systematic reviews and meta-analyses were included. (2) Discussion: The lifetime prevalence for TN is approximately 0.3% and for PIFP approximately 0.03%. TN is 15–20 times more common in persons with multiple sclerosis. Most cases of TN are caused by neurovascular compression, but a significant number are secondary to inflammation, tumor or trauma. The cause of PIFP remains unknown. Well-established TN treatment protocols include pharmacotherapy, neurotoxin denervation, peripheral nerve ablation, focused radiation, and microvascular decompression, with high rates of relief and varying degrees of adverse outcomes. No such protocols exist for PIFP. (3) Conclusion: PIFP may be confused with TN, but treatment possibilities differ greatly. Head and neck muscle myofascial pain syndrome is suggested as a possible cause of PIFP, a consideration that could open new approaches to treatment.

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“…Stereotactic Gamma knife radiosurgery (GKRS) is a minimally invasive approach for the treatment of TN refractory to medication. 30,31 This type of treatment produces axonal degeneration, ion channel destruction and an electrophysiological block that reduces nociceptive input. Highly precise localization of the trigeminal nerve or trigeminal ganglion is possible, which limits side effects.…”

Section: Stereotactic Gamma Knife Radiosurgerymentioning

confidence: 99%

Diagnosis and Treatment of Patients with Trigeminal Neuralgia: A Review

Tadei¹

2022

ijSciences

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Trigeminal neuralgia (TN) is one of the most common forms of neuropathic pain found in the head and neck region, the diagnosis of which is clinical. Long-term oral medication offers no benefits for patients with TN. Interventions for these patients include percutaneous rhizotomy, radiofrequency thermocoagulation, balloon compression, botulinum neurotoxin, stereotactic Gamma knife radiosurgery and microvascular decompression. The aim of the present study was to investigate aspects of the diagnosis and treatment of patients with trigeminal neuralgia through a literature review. A bibliographic survey was conducted through searches of the SciELO, BIREME, Medline and Google Scholar electronic databases for relevant articles published in the English language. The articles found in the literature were divided into four groups: Group 1definition and epidemiology (references 1 to 9); Group 2diagnosis (references 10 to 12), Group 3: treatment (references 13 to 26); Group 4: interventional approaches (references 27 to 40). TN is one of the most common forms of neuropathic pain found in the head and neck region. The diagnosis is based on a history of pain such as an "electrical shock" felt in a division of the trigeminal nerve. Approximately 50% of patients with TN do not achieve long-term benefits from drug therapy. Interventional approaches require more scientific research. Future studies should focus on genetics, unexplored etiological factors, sensory function, neurosurgical outcomes and complications, combinations and neuromodulation as well as the development of new drugs with greater tolerability.

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Peripheral Nerve Stimulation for Refractory Trigeminal Pain: Recent Single-Institution Case Series With Long-Term Follow-Up and Review of the Literature

Cited by 13 publications

References 31 publications

Implantable Peripheral Nerve Stimulation for Trigeminal Neuropathic Pain: A Systematic Review and Meta-Analysis

Implantable Peripheral Nerve Stimulation for Trigeminal Neuropathic Pain: A Systematic Review and Meta-Analysis

Chronic Facial Pain: Trigeminal Neuralgia, Persistent Idiopathic Facial Pain, and Myofascial Pain Syndrome—An Evidence-Based Narrative Review and Etiological Hypothesis

Diagnosis and Treatment of Patients with Trigeminal Neuralgia: A Review

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