Article ; Online: A case of severe trigeminal neuralgia: recovery by means of stellate ganglion block with procaine. Discussion of possible mechanisms of action.
The Journal of international medical research
2023 Volume 51, Issue 4, Page(s) 3000605231164479
Abstract: Drug and invasive treatment options for trigeminal neuralgia (TN) are often fraught with problems. Knowledge of the involvement of the autonomic nervous system, especially the sympathetic portion, in the pain process has grown rapidly in recent years. ... ...
Abstract | Drug and invasive treatment options for trigeminal neuralgia (TN) are often fraught with problems. Knowledge of the involvement of the autonomic nervous system, especially the sympathetic portion, in the pain process has grown rapidly in recent years. Both nociceptive and neuropathic pain can be maintained by the sympathetic nervous system, known as 'sympathetically maintained pain' (SMP). This current case report describes a patient with refractory TN that was treated with a stellate ganglion block (SGB). After the first SGB, the patient experienced significant pain relief that became long-lasting after repeated application of the SGB. These findings suggest that this patient had a high level of SMP. In patients with a low percentage of SMP, SGB may be less or not successful. A literature search did not find any case reports or studies about patients with refractory idiopathic TN treated with sympathetic blocks using local anaesthetics. From our point of view, it might be useful to test by means of SGB the extent to which an individual has SMP present, and, if that is the case, to perform a short series of SGB, as done in this current patient. Studies are needed to provide further insights. |
|||||
---|---|---|---|---|---|---|
MeSH term(s) | Humans ; Trigeminal Neuralgia/drug therapy ; Procaine ; Stellate Ganglion ; Autonomic Nerve Block ; Neuralgia/therapy | |||||
Chemical Substances | Procaine (4Z8Y51M438) | |||||
Language | English | |||||
Publishing date | 2023-04-22 | |||||
Publishing country | England | |||||
Document type | Case Reports ; Journal Article | |||||
ZDB-ID | 184023-x | |||||
ISSN | 1473-2300 ; 0300-0605 ; 0142-2596 | |||||
ISSN (online) | 1473-2300 | |||||
ISSN | 0300-0605 ; 0142-2596 | |||||
DOI | 10.1177/03000605231164479 | |||||
Shelf mark |
|
|||||
Database | MEDical Literature Analysis and Retrieval System OnLINE |
More links
Kategorien
In stock of ZB MED Cologne/Königswinter
Zs.A 925: Show issues | Location: Je nach Verfügbarkeit (siehe Angabe bei Bestand) bis Jg. 1994: Bestellungen von Artikeln über das Online-Bestellformular Jg. 1995 - 2021: Lesesall (1.OG) ab Jg. 2022: Lesesaal (EG) |
Order via subito
This service is chargeable due to the Delivery terms set by subito. Orders including an article and supplementary material will be classified as separate orders. In these cases, fees will be demanded for each order.