Behandeling van trigeminusneuralgie bij patiënten met multiple sclerose met behulp van radiofrequente thermocoagulatie van het ganglion van Gasser: een gevallenreeks

Abstract

Treatment of trigeminal neuralgia in patients with multiple sclerosis using radiofrequency thermocoagulation of Gasser’s ganglion: a case series Patients with trigeminal neuralgia and multiple sclerosis (TNMS) are difficult to treat. Often, medication treatment does not provide sufficient pain relief. In these patients, radiofrequency thermocoagulation of Gasser’s ganglion can be performed. This case series looked at the results of patients with TNMS who underwent this procedure between January 2005 and March 2021. A total of 14 patients were included, most of whom underwent multiple procedures over the years. There was an average of 4 years between the diagnosis of trigeminal neuralgia and the first procedure. Adequate analgesia was obtained in 71% (1st procedure), 89% (2nd procedure), 100% (3rd procedure) and 50% (4th procedure) of the patients respectively. In 5 cases, hypoesthesia occurred in the denervated area, which was transient in 4 cases. There were no other complications. Based on these data, the authors come to the conclusion that radiofrequent thermocoagulation has a place in this difficult-to-treat condition thanks to the safe and substantial pain reduction in TNMS.