open access
The effectiveness of neurolytic block of sphenopalatine ganglion using zygomatic approach for the management of trigeminal neuropathy
Affiliations- Pain Clinic: Department of Anesthesiology and Intensive Care, Medical Center for Postgraduate Education, Warsaw, Poland
open access
Abstract
This study was performed to present the outcomes of trigeminal neuropathy management with the application of neurolytic block of sphenopalatine ganglion. This type of procedure is used in cases where pain is not well controlled with medical treatment. Twenty patients were treated with sphenopalatine ganglion neurolysis after their response to pharmacological management was not satisfactory. Significant pain relief was experienced by all but one patient and they were able to reduce or stop their pain medication. The time of pain relief was between a few months and 9 years during the study period. Number of procedures implemented varied as some of the patients have been under the care of our Pain Clinic for as long as 18 years, satisfied with this type of management and willing to have the procedure repeated if necessary. It appears that neurolytic block of sphenopalatine ganglion is effective enough and may be an option worth further consideration in battling the pain associated with trigeminal neuropathy.
Abstract
This study was performed to present the outcomes of trigeminal neuropathy management with the application of neurolytic block of sphenopalatine ganglion. This type of procedure is used in cases where pain is not well controlled with medical treatment. Twenty patients were treated with sphenopalatine ganglion neurolysis after their response to pharmacological management was not satisfactory. Significant pain relief was experienced by all but one patient and they were able to reduce or stop their pain medication. The time of pain relief was between a few months and 9 years during the study period. Number of procedures implemented varied as some of the patients have been under the care of our Pain Clinic for as long as 18 years, satisfied with this type of management and willing to have the procedure repeated if necessary. It appears that neurolytic block of sphenopalatine ganglion is effective enough and may be an option worth further consideration in battling the pain associated with trigeminal neuropathy.
Keywords
Neuropathic pain, Trigeminal neuropathy, Sphenopalatine ganglion, Neurolytic block
About this articleTitle
The effectiveness of neurolytic block of sphenopalatine ganglion using zygomatic approach for the management of trigeminal neuropathy
Journal
Neurologia i Neurochirurgia Polska
Issue
Pages
389-394
Page views
336
Article views/downloads
1010
DOI
10.1016/j.pjnns.2015.08.010
Bibliographic record
Neurol Neurochir Pol 2015;49(6):389-394.
Keywords
Neuropathic pain
Trigeminal neuropathy
Sphenopalatine ganglion
Neurolytic block
Authors
Malgorzata Malec-Milewska
Bartosz Horosz
Dariusz Kosson
Agnieszka Sekowska
Hanna Kucia
