Anesthesia dolorosa (AD) is a chronic pain syndrome due to trigeminal nerve injury. AD may be caused by intentional or unintentional injury. Opioids and neuromodulatory medications may have little effect on AD symptoms. Both neuromodulatory (stimulation) and ablative surgical methods have been used to treat AD with some success, but results have been inconsistent This case of a 38-year-old woman illustrates the complexity of and variable outcomes from treatment for anesthesia dolorosa.
KeywordsAnesthesia dolorosa Trigeminal neuralgia Microvascular decompression Trigeminal deafferentation pain Persistent facial pain