open access

Vol 49, No 6 (2015)
Original research articles
Submitted: 2015-03-10
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The effectiveness of neurolytic block of sphenopalatine ganglion using zygomatic approach for the management of trigeminal neuropathy

Malgorzata Malec-Milewska, Bartosz Horosz, Dariusz Kosson, Agnieszka Sekowska, Hanna Kucia
DOI: 10.1016/j.pjnns.2015.08.010
·
Neurol Neurochir Pol 2015;49(6):389-394.

open access

Vol 49, No 6 (2015)
Original research articles
Submitted: 2015-03-10

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.

Get Citation

Keywords

Neuropathic pain, Trigeminal neuropathy, Sphenopalatine ganglion, Neurolytic block

About this article
Title

The effectiveness of neurolytic block of sphenopalatine ganglion using zygomatic approach for the management of trigeminal neuropathy

Journal

Neurologia i Neurochirurgia Polska

Issue

Vol 49, No 6 (2015)

Pages

389-394

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

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