A combination of low-temperature radiofrequency thermocoagulation and pulsed radiofrequency of the bilateral Gasserian ganglion for bilateral trigeminal neuralgia due to multiple sclerosis: a case report
Abstract Background Bilateral trigeminal neuralgia secondary to multiple sclerosis is an extremely rare condition. When Gasserian ganglion block is performed, it is necessary to achieve reliable long-term analgesic effects while avoiding treatment-related complications. Case presentation A 49-year-o...
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2025-01-01
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| Series: | JA Clinical Reports |
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| Online Access: | https://doi.org/10.1186/s40981-025-00764-1 |
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| author | Mihoko Tamura Masayuki Nakagawa Yoichiro Abe |
| author_facet | Mihoko Tamura Masayuki Nakagawa Yoichiro Abe |
| author_sort | Mihoko Tamura |
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| description | Abstract Background Bilateral trigeminal neuralgia secondary to multiple sclerosis is an extremely rare condition. When Gasserian ganglion block is performed, it is necessary to achieve reliable long-term analgesic effects while avoiding treatment-related complications. Case presentation A 49-year-old male with multiple sclerosis exhibited persistent dull pain and paroxysmal electric shock-like pain in his bilateral maxillary molars and mandible. He was diagnosed with trigeminal neuralgia due to multiple sclerosis. Due to severe side effects, it was difficult to achieve adequate pain control with medication alone. By performing low-temperature radiofrequency thermocoagulation and pulsed radiofrequency of the Gasserian ganglion while monitoring masseter muscle contraction, a satisfactory and rapid analgesic effect was obtained without masticatory atonia. Conclusions To the best of our knowledge, this is the first case of bilateral trigeminal neuralgia due to multiple sclerosis in which low-temperature radiofrequency thermocoagulation combined with pulsed radiofrequency was successfully performed for pain relief without masticatory atonia. |
| format | Article |
| id | doaj-art-32d0e0998b474ca5bd00a6ef1c6197a2 |
| institution | Kabale University |
| issn | 2363-9024 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj-art-32d0e0998b474ca5bd00a6ef1c6197a22025-01-19T12:13:20ZengSpringerOpenJA Clinical Reports2363-90242025-01-011111510.1186/s40981-025-00764-1A combination of low-temperature radiofrequency thermocoagulation and pulsed radiofrequency of the bilateral Gasserian ganglion for bilateral trigeminal neuralgia due to multiple sclerosis: a case reportMihoko Tamura0Masayuki Nakagawa1Yoichiro Abe2Department of Pain Clinic, NTT Medical Center TokyoDepartment of Pain Clinic, NTT Medical Center TokyoDepartment of Pain Clinic, NTT Medical Center TokyoAbstract Background Bilateral trigeminal neuralgia secondary to multiple sclerosis is an extremely rare condition. When Gasserian ganglion block is performed, it is necessary to achieve reliable long-term analgesic effects while avoiding treatment-related complications. Case presentation A 49-year-old male with multiple sclerosis exhibited persistent dull pain and paroxysmal electric shock-like pain in his bilateral maxillary molars and mandible. He was diagnosed with trigeminal neuralgia due to multiple sclerosis. Due to severe side effects, it was difficult to achieve adequate pain control with medication alone. By performing low-temperature radiofrequency thermocoagulation and pulsed radiofrequency of the Gasserian ganglion while monitoring masseter muscle contraction, a satisfactory and rapid analgesic effect was obtained without masticatory atonia. Conclusions To the best of our knowledge, this is the first case of bilateral trigeminal neuralgia due to multiple sclerosis in which low-temperature radiofrequency thermocoagulation combined with pulsed radiofrequency was successfully performed for pain relief without masticatory atonia.https://doi.org/10.1186/s40981-025-00764-1Bilateral trigeminal neuralgiaMultiple sclerosisGasserian ganglion blockRadiofrequency thermocoagulationPulsed radiofrequency |
| spellingShingle | Mihoko Tamura Masayuki Nakagawa Yoichiro Abe A combination of low-temperature radiofrequency thermocoagulation and pulsed radiofrequency of the bilateral Gasserian ganglion for bilateral trigeminal neuralgia due to multiple sclerosis: a case report JA Clinical Reports Bilateral trigeminal neuralgia Multiple sclerosis Gasserian ganglion block Radiofrequency thermocoagulation Pulsed radiofrequency |
| title | A combination of low-temperature radiofrequency thermocoagulation and pulsed radiofrequency of the bilateral Gasserian ganglion for bilateral trigeminal neuralgia due to multiple sclerosis: a case report |
| title_full | A combination of low-temperature radiofrequency thermocoagulation and pulsed radiofrequency of the bilateral Gasserian ganglion for bilateral trigeminal neuralgia due to multiple sclerosis: a case report |
| title_fullStr | A combination of low-temperature radiofrequency thermocoagulation and pulsed radiofrequency of the bilateral Gasserian ganglion for bilateral trigeminal neuralgia due to multiple sclerosis: a case report |
| title_full_unstemmed | A combination of low-temperature radiofrequency thermocoagulation and pulsed radiofrequency of the bilateral Gasserian ganglion for bilateral trigeminal neuralgia due to multiple sclerosis: a case report |
| title_short | A combination of low-temperature radiofrequency thermocoagulation and pulsed radiofrequency of the bilateral Gasserian ganglion for bilateral trigeminal neuralgia due to multiple sclerosis: a case report |
| title_sort | combination of low temperature radiofrequency thermocoagulation and pulsed radiofrequency of the bilateral gasserian ganglion for bilateral trigeminal neuralgia due to multiple sclerosis a case report |
| topic | Bilateral trigeminal neuralgia Multiple sclerosis Gasserian ganglion block Radiofrequency thermocoagulation Pulsed radiofrequency |
| url | https://doi.org/10.1186/s40981-025-00764-1 |
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