İlteriş Ahmet ŞENTÜRK, Edip GÖNÜLLÜ

Comparison of Peripheral Nerve Conventional and Pulse Radiofrequency Applications in Patients with Primary Trigeminal Neuralgia: A Retrospective Analysis

Aim: This study aims to retrospectively investigate the results of continuous radiofrequency (CRF) and pulsed radiofrequency (PRF) applications to the peripheral branches of the trigeminal nerve in patients with trigeminal neuralgia (TN). Material and Methods: Patients who experienced a significant reduction in pain symptoms after local anesthetic application to the peripheral branches of the trigeminal nerve were divided into two groups. The first group received PRF treatment and the second group received CRF treatment. Pain intensity scores of both groups at 1 and 3 months were compared. The results were analyzed retrospectively. Results: Among the participants, 10 received PRF treatment and another 10 received CRF treatment. At the 1st month follow-up, both groups demonstrated considerable reductions in pain levels. By the 3rd month, no substantial disparities were noted between the two groups in terms of pain-related disability and pain intensity. Conclusion: Both PRF and CRF interventions emerge as effective and secure techniques applicable to the peripheral branches of the trigeminal nerve. They should be contemplated as valuable options in cases where conventional medical treatments fall short in delivering adequate pain control.

Keywords:

Trigeminal Neuralgia, Radiofrequency ablation ultrasound, nerve block,

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Maarbjerg S, Di Stefano G, Bendtsen L, Cruccu G. Trigeminal neuralgia-diagnosis and treatment. Cephalalgia. 2017;37:648-57.
Cruccu G, Di Stefano G, Truini A. Trigeminal neuralgia. N Engl J Med. 2020;383:754-62.
Zakrzewska JM, Linskey ME. Trigeminal neuralgia. BMJ Clin Evid. 2014;2014:1207.
Abd-Elsayed A, Martens JM, Fiala KJ, Izuogu A. Pulsed radiofrequency for the treatment of trigeminal neuralgia. Curr Pain Headache Rep. 2022;26:889-94.
Eskandar E, Kumar H, Boini A, et al. The role of radiofrequency ablation in the treatment of trigeminal neuralgia: a narrative review. Cureus. 2023;15:e36193.
Abduhamid AS, Alomari MS, Ghaddaf AA, et al. Radiofrequency thermoablation of the peripheral branches of trigeminal nerve versus the Gasserian ganglion for treating idiopathic trigeminal neuralgia: a systematic review and meta-analysis. J Clin Neurosci. 2022;104:42-7.
Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38:1-211.
Wray JK, Dixon B, Przkora R. Radiofrequency ablation. https://www.ncbi.nlm.nih.gov/books/NBK482387/ acces date 22.04.2023
Hawker GA, Mian S, Kendzerska T, French M. Measures of adult pain: Visual Analog Scale For Pain (VAS Pain), Numeric Rating Scale for Pain (NRS Pain), McGill Pain Questionnaire (MPQ), Short-Form McGill Pain Questionnaire (SF-MPQ), Chronic Pain Grade Scale (CPGS), Short Form-36 Bodily Pain Scale (SF-36 BPS), and Measure of Intermittent and Constant Osteoarthritis Pain (ICOAP). Arthritis Care Res (Hoboken). 2011;63:S240–52.
Dikmen PY, Bozdağ M, Güneş M, et al. Reliability and validity of Turkish version of headache impact test (HIT-6) in patients with migraine. Noro Psikiyatr Ars. 2020;58:300-7.
Cruccu G, Gronseth G, Alksne J, et al. AAN-EFNS guidelines on trigeminal neuralgia management. Eur J Neurol. 2008;15:1013-28.
Zakrzewska JM, Linskey ME. Trigeminal neuralgia. BMJ. 2014;348:g474.
Zeng F, Zhu M, Wan Q, et al. The treatment of V2 + V3 idiopathic trigeminal neuralgia using peripheral nerve radiofrequency thermocoagulation via the foramen rotundum and foramen ovale compared with semilunar ganglion radiofrequency thermocoagulation. Clin Neurol Neurosurg. 2020;196:106025.
Wan Q, Zhang D, Cao X, et al. CT-guided selective percutaneous radiofrequency thermocoagulation via the foramen rotundum for isolated maxillary nerve idiopathic trigeminal neuralgia. J Neurosurg. 2018;128:211-4.
Luo F, Wang T, Shen Y, et al. High voltage pulsed radiofrequency for the treatment of refractory neuralgia of the infraorbital nerve: a prospective double-blinded randomized controlled study. Pain Physician. 2017;20:271-9.
Fang L, Tao W, Jingjing L, Nan J. Comparison of high-voltage- with standard-voltage pulsed radiofrequency of gasserian ganglion in the treatment of idiopathic trigeminal neuralgia. Pain Pract. 2015;15:595-603.
Erdine S, Ozyalcin NS, Cimen A, et al. Comparison of pulsed radiofrequency with conventional radiofrequency in the treatment of idiopathic trigeminal neuralgia. Eur J Pain. 2007;11:309-13.
Tanyel T, Bilir A, Güleç MS. Peripheral nerve pulsed radiofrequency for trigeminal neuralgia treatment: Is it an effective method?. Agri. 2023;35:96-102.