Trigeminal Neuralgia
Conditions
Keywords
trigeminal neuralgia, maxillary nerve, ultrasound guided nerve block
Brief summary
This is a study about the dynamics and effects of ultrasound guided maxillary nerve block in trigeminal neuralgia
Detailed description
Standard pharmacological treatment for trigeminal neuralgia is often insufficient. In this setting, patients often suffer trough everyday activities and quality of life is disturbed substantially. In this prospective clinical study, analgesic effect of ultrasound (US) guided maxillary nerve block will be investigated, in order to prolong pain-free time, reduce the use of standard analgesics, as well as atypical ones (e.g. antiepileptic drugs and antidepressants). Characteristics of US guided maxillary nerve block will pain investigated: reduction of pain (decrease of VAS score), duration of pain-free period, pain level during the procedure.
Interventions
PROCEDUREUS guided block of maxillary nerve
Extraoral ultrasound-guided block of the maxillary nerve will be performed in the examined group using an ultrasound device and local anesthetic levobupivacaine (0,5%, 2 mL) combined with triamcinolonacetonid (2mL).
Sponsors
Varazdin General Hospital
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* patients with trigeminal neuralgia
Exclusion criteria
* allergy to local anesthetics * local infection at the site of needle puncture * parotitis * serious liver disease * use of antiarrhythmics group III (eg amiodarone) * anticoagulant or antithrombotic drugs * lactation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time without pain | 26 weeks | Patients will report to the investigator when pain starts to rise - and the amount of time form the procedure to the reporting will be recorded |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Trend of pain level | Pain level at three time points: 1 month, 3 months and 6 months after the procedure | Pain will be graded according to visual analogue scale, 0 meaning no pain, 10 meaning the worse pain possible |
| Pain level when anesthesia is applied | Immediately after the procedure | Pain will be graded according to visual analogue scale, 0 meaning no pain, 10 meaning the worse pain possible |
| Time to sart of the action of the block | Immediately after the procedure | Time from the procedure till the pain is reduced, in minutes |
Countries
Croatia
Outcome results
None listed