Trigeminal neuropathy: Two case reports of gasserian ganglion stimulation

Abstract This report describes the successful treatment of two patients with trigeminal neuropathy by using gasserian ganglion stimulation. Case reports: The first case report deals with a 53‐year‐old woman suffering from right‐sided facial pain after a gamma knife lesion for schwannoma of the right...

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Autores principales:	Yannick Logghe, Iris Smet, Ali Jerjir, Peter Verelst, Marieke Devos, Jean‐Pierre Van Buyten
Formato:	article
Lenguaje:	EN
Publicado:	Wiley 2021
Materias:	gasserian ganglionpain neuromodulation pain trigeminal neuropathypain Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
Acceso en línea:	https://doaj.org/article/e9812a64b31e4006b30d9ca020122382
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spelling	oai:doaj.org-article:e9812a64b31e4006b30d9ca0201223822021-11-25T06:06:36ZTrigeminal neuropathy: Two case reports of gasserian ganglion stimulation2162-327910.1002/brb3.2379https://doaj.org/article/e9812a64b31e4006b30d9ca0201223822021-11-01T00:00:00Zhttps://doi.org/10.1002/brb3.2379https://doaj.org/toc/2162-3279Abstract This report describes the successful treatment of two patients with trigeminal neuropathy by using gasserian ganglion stimulation. Case reports: The first case report deals with a 53‐year‐old woman suffering from right‐sided facial pain after a gamma knife lesion for schwannoma of the right inner ear. For 9 years, several interventions with the aim of relieving the pain were unsuccessful; in fact, they had aggravated the symptoms. A trial with a neurostimulator at the level of the Gasser ganglion had an immediately positive effect on her score for facial pain, which decreased from 7.3 to 0 on a visual analog scale, assessed during a period of 2 months. Additionally, the patient had weaned off all her medication by the end of the period. The second case report describes a 64‐year‐old man suffering from trigeminal neuropathy, which mainly manifested itself as an itch. For a period of 15 years, neither medication nor several interventions were effective. A trial with an electrode at the level of the Gasser ganglion reduced his pain score from 7.0 to 1.5 on a visual analog scale, assessed during a period of three months. His medication could be limited to pregabalin 150 mg bidaily. In contrast, prior to the implantation, his oral medication consisted of pregabalin 75 mg up to five times a day. Conclusion: These case reports show that stimulation of the gasserian ganglion is a successful, minimally invasive, and non‐destructive treatment in refractory trigeminal neuropathy and should be considered earlier in the treatment algorithm of trigeminal neuropathy.Yannick LoggheIris SmetAli JerjirPeter VerelstMarieke DevosJean‐Pierre Van BuytenWileyarticlegasserian ganglionpainneuromodulationpaintrigeminal neuropathypainNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571ENBrain and Behavior, Vol 11, Iss 11, Pp n/a-n/a (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	gasserian ganglionpain neuromodulation pain trigeminal neuropathypain Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571
spellingShingle	gasserian ganglionpain neuromodulation pain trigeminal neuropathypain Neurosciences. Biological psychiatry. Neuropsychiatry RC321-571 Yannick Logghe Iris Smet Ali Jerjir Peter Verelst Marieke Devos Jean‐Pierre Van Buyten Trigeminal neuropathy: Two case reports of gasserian ganglion stimulation
description	Abstract This report describes the successful treatment of two patients with trigeminal neuropathy by using gasserian ganglion stimulation. Case reports: The first case report deals with a 53‐year‐old woman suffering from right‐sided facial pain after a gamma knife lesion for schwannoma of the right inner ear. For 9 years, several interventions with the aim of relieving the pain were unsuccessful; in fact, they had aggravated the symptoms. A trial with a neurostimulator at the level of the Gasser ganglion had an immediately positive effect on her score for facial pain, which decreased from 7.3 to 0 on a visual analog scale, assessed during a period of 2 months. Additionally, the patient had weaned off all her medication by the end of the period. The second case report describes a 64‐year‐old man suffering from trigeminal neuropathy, which mainly manifested itself as an itch. For a period of 15 years, neither medication nor several interventions were effective. A trial with an electrode at the level of the Gasser ganglion reduced his pain score from 7.0 to 1.5 on a visual analog scale, assessed during a period of three months. His medication could be limited to pregabalin 150 mg bidaily. In contrast, prior to the implantation, his oral medication consisted of pregabalin 75 mg up to five times a day. Conclusion: These case reports show that stimulation of the gasserian ganglion is a successful, minimally invasive, and non‐destructive treatment in refractory trigeminal neuropathy and should be considered earlier in the treatment algorithm of trigeminal neuropathy.
format	article
author	Yannick Logghe Iris Smet Ali Jerjir Peter Verelst Marieke Devos Jean‐Pierre Van Buyten
author_facet	Yannick Logghe Iris Smet Ali Jerjir Peter Verelst Marieke Devos Jean‐Pierre Van Buyten
author_sort	Yannick Logghe
title	Trigeminal neuropathy: Two case reports of gasserian ganglion stimulation
title_short	Trigeminal neuropathy: Two case reports of gasserian ganglion stimulation
title_full	Trigeminal neuropathy: Two case reports of gasserian ganglion stimulation
title_fullStr	Trigeminal neuropathy: Two case reports of gasserian ganglion stimulation
title_full_unstemmed	Trigeminal neuropathy: Two case reports of gasserian ganglion stimulation
title_sort	trigeminal neuropathy: two case reports of gasserian ganglion stimulation
publisher	Wiley
publishDate	2021
url	https://doaj.org/article/e9812a64b31e4006b30d9ca020122382
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Trigeminal neuropathy: Two case reports of gasserian ganglion stimulation

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