Health Condition 1: G500- Trigeminal neuralgia
Conditions
Interventions
Intervention1: dexamethasone combined with lignocaine in SPG block in patients with TGN of v2 distribution: Lignocaine plus dexamethasone SPG block
dexamethasone 8mg dipped in cotton tipped applicator
Sponsors
AIIMS New Delhi
Eligibility
Inclusion criteria
Inclusion criteria: Age 18 80 years. Predominant unilateral pain in maxillary V2 distribution Diagnosis of idiopathic TN Inadequate relief or intolerance to standard medical therapy.
Exclusion criteria
Exclusion criteria: Allergy to lignocaine, steroids, or local contraindications. Pain of mixed origin Coagulopathy or on anticoagulants Local infection at injection site. Prior SPG block or PRF within 4 weeks Pregnancy. Patient refusal
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in Numerical Rating Scale NRS 0 to 10 from baseline to 1 week post block. Timepoint: Change in Numerical Rating Scale NRS 0 to 10 from baseline to 1 week post block. | — |
Secondary
| Measure | Time frame |
|---|---|
| NRS at 30 minutes, 1 hour and at 1 week after the block. Number of rescue doses of 10 percent lignocaine spray and oral rescue medicine used over the week. Adverse events like nasal irritation, epistaxis, throat discomfort, dizziness, or systemic effects. Duration of pain reliefTimepoint: 30 minutes, 1 hour and 1 week | — |
Countries
India
Contacts
Public ContactDr Heena Garg
Department of Anaesthesiology, Pain medicine and Critical Care, AIIMS
Outcome results
None listed