Different treatment methods in a patient with idiopathic trigeminal neuralgia
Anna Gawęda 1  
Ewa Jach 1
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Maxillofacial Surgery Department, Medical University, Lublin, Poland
Anna Gawęda   

Maxillofacial Surgery Department, Medical University, Staszica 11, 20-081 Lublin, Poland.
J Pre Clin Clin Res. 2011;5(1):35–37
Idiopathic trigeminal neuralgia (TN) still lacks an eff ective treatment procedure. At fi rst, we applied non-invasive treatment, pharmacological and anticonvulsant medicines, and in the absence of an eff ect or the appearance of secondary manifestations, we chose surgical intervention. This study presents the therapeutic process in a patient who had been complaining for about 24 years of pain of a neuralgic character, described in the II (V2) and III (V3) branch of the trigeminal nerve (V) on the left side. Until 2007, the patient was treated pharmacologically, prosthetically, his vascular-nervous confl ict was surgically decompressed through the treatment of the Gasserian ganglion using thermolesion. In 2008, the patient was directed to the Maxillofacial Surgery Department of the Medical University in Lublin where he was diagnosed with neuralgia of the V2 and V3 of the left side. A cryoblockade was performed with the result of a V3 remission of pain which lasted 20 months.
Loeser JD. Cranial neuralgias. In: Loeser JD (Ed.). Bonica’s Management of Pain. Th ird Edition. Philadelphia 2001;29:855-866.
Erbay SH, Bhadelia RA, Riesenburger R, Gupta P, O’Callaghan M, Yun E, Oljeski S. Association between neurovascular contact on MRI and response to gamma knife radiosurgery in trigeminal neuralgia. Neuroriadiology 2006;48:26-30.
Ritter PM, Friedman WA, Bhasin RR. Th e surgical treatment of trigeminal neuralgia: overview and experience at the University of Florida. J Neurosci Nurs 2009;41(4):211-214.
Gawęda A, Tomaszewski T. Treatment results of Trigeminal neuralgia in the period 1995-2002 based on the material of the University Department of Maxillofacial and Oral Surgary in Lublin. Dent Med Prob 2006;43(3):363-369 (in Polish).
Hutowska-Łukasiewicz M, Gawęda A. Treatment of Trigeminal neuralgia with using the cryoblockade procedure. Mag Stomatol 1996;49(2):13-15 (in Polish).
Merrison AFA, Fuller G. Treatment options for trigeminal neuralgia. BMJ 2003;327:1360-1361.
Przeklasa-Muszyńska A, Dobrogowski J, Wordliczek J, Muszyński T. Treatment of Trigeminal neuralgia. Terapia 2007;15:43 (in Polish).
Burchiel KJ. Percutaneous retrogasserian glycerol rhizolysis in the management of trigeminal neuralgia. J Neurosurg 1988;69:361-366.
Devor M, Amir R, Rappaport ZH. Pathophysiology of trigeminal neuralgia: the ignition hypothesis. Clin J Pain. 2002;18:4-13.
Czernicki Z. New options for etiology and treatment of Trigeminal neuralgia. Czas Stom 1996;49(1):5-12 (in Polish).
Bogucki J, Czernicki Z. Effi cacy of MVD procedures in diff erent types of a vascular-nervous confl ict in patients with Trigeminal neuralgia –own experiences. Neurol Neurochir Pol 2002;36(5):937-946 (in Polish).
Żurek M, Rawa-Kołodziejska J. Trigeminal neuralgia – the etiology and the treatment. Gazeta Stomat 1995;3:18-19 (in Polish).
Maksymowicz W. Th e fi ts of facial pain. Trigeminal neuralgia. Gazeta Lekarska 1995;6:21-25 (in Polish).
Borgiel-Marek H, Łangowska-Adamczyk H, Szydłowska-Dudek E, Jędrzejowski P. Th e estimation of results in the treatment of Trigeminal neuralgia. Twój przegląd stomatologiczny 2005;12:42-44 (in Polish).
Nurmikko TJ, Eldridge PR. Trigeminal neuralgia- pathophysiology, diagnosis and current treatment. Br J Anaesth 2001;87:117-132.
Lloyd JW, Barnard JD, Glynn CJ. Cryoanalgesia. A new approach to pain relief. Lancet 1976;2:932-934.
Zakrzewska J, Nally FF. Th e role of cryotherapy (cryoanalgesia) in the management of paroxysmal trigeminal neuralgia: a six year experience. Br J Oral Maxillofac Surg 1988;26:18-25.
Waśkowska J, Bibułek-Bogacz A. Treatment of Trigeminal neuralgia with using the cryoblockade procedure based on the own experiences. Czas Stom 2001;54(1):23-26 (in Polish).
Wrobel-Wiśniewska G, Zawirski M, Polis L.Th e remote results of the treatment of Trigeminal neuralgia by thermocoagulation of the gasserian ganglion. Neurol Neurochir Pol Supl 1992;1:231 (in Polish).
Jannetta PJ. Microvascular decompression of the trigeminal nerve root entry zone. Th eoretical considerations, operative anatomy, surgical technique and results. In: Rovit RL, Murali R, Jannetta PJ. (Eds.). Trigeminal neuralgia. Baltimore 1990:201-222.
Czepko R, Kwinta B, Libionka W, Pietruszko W. Th e close and longterm results of treatment of Trigeminal neuralgia by microvascular decompression at the bridge-cerebella angle. Przegląd Lekarski. 2003;60(10):621-624 (in Polish).
Kondo A. Follow-up results of microvascular decompression in trigeminal neuralgia and hemifacial spasm. Neurosurgary 1997;40:46-52.
Salama H, Ben-Khayal H, Mohamed A, El-Mitwall A, Zaher AA, EzzEldin A, et al. Outcome of medical and surgical management in intractable idiopathic trigeminal neuralgia. Ann Ind Acad Neurology 2009;12(3):173-178.