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Gasserian Ganglion Block (Percutaneous Radiofrequency Trigeminal Rhizotomy)

  • Yoshikazu NaganumaEmail author
Chapter

Abstract

Percutaneous radiofrequency trigeminal rhizotomy (RF-TR) is the safe and effective method for the treatment of trigeminal neuralgia. In RF-TR Gasserian ganglion is punctured via foramen ovale under X-ray monitoring; neuralgic pain is removed by partial electrocautery of the ganglion. The pain-free period normally continues 2–3 years or sometimes more after RF-TR. During the pain-free period, the patients are able to stop taking oral medication such as dizziness-causing antiepileptic agents. Since this technique has nerve destruction aspect which brings about unpleasant facial numbness and masseter weakness, highest consideration should be paid in selection of the candidate.

Keywords

Trigeminal neuralgia Radiofrequency trigeminal rhizotomy Percutaneous procedures 

References

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Copyright information

© Springer Japan KK, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Naganuma Pain ClinicTokyoJapan

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