Trigeminal Neuralgia
Conditions
Brief summary
The aim of this study is to compare the efficacy of radiofrequency of the Gasserian ganglion versus peripheral branches of the trigeminal nerve for the treatment of trigeminal neuralgia.
Detailed description
Trigeminal neuralgia (TN) is defined as sudden, severe, short-term, stabbing and recurrent pain in the distribution of one or more branches of the trigeminal nerve. Many invasive treatments are available for patients who respond poorly to medical therapy. Among them, radiofrequency therapy is a viable option with a reliable initial and long-term clinical efficacy.
Interventions
radiofrequency ablation of the gasserian ganglion
radiofrequency of the peripheral trigeminal branches ( maxillary, mandibular, supraorbital)
Sponsors
Study design
Eligibility
Inclusion criteria
* Diagnosed with Primary Trigeminal Neuralgia meets the criteria of the International Classification of Headache Disorders. * Suffering from severe trigeminal neuralgia that cannot be alleviated effectively with conservative therapy. * Agree to participate in the study
Exclusion criteria
* Infection at the puncture site. * Coagulation disorder. * Abnormal blood test (hepatic or renal function) * History of receiving invasive treatment (glycerol rhizolysis, radiofrequency thermocoagulation, balloon compression, gamma knife treatment, microvascular decompression)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The modified Barrow Neurological Institute Pain Intensity Score | six months | The efficacy of the treatment will be assessed using the modified Barrow Neurological Institute Pain Intensity Score (I: No pain, off medications; II: Occasional pain, off medications; IIIa: No pain, continued use of medications; IIIb: Pain persists, but adequately controlled with medications; IV: Pain not adequately controlled with medications; V: No relief). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Numeric rating scale | baseline to six months | Pain will evaluated by a numerical rating scale (0 indicates no pain, 10 indicates the most severe pain imaginable). |
| Patient satisfaction | six months | Patient satisfaction scores on the 5-point Likert scale (1: poor, 2: fair, 3: good, 4: very good, 5: excellent) |
Countries
Turkey (Türkiye)