Analyzing the Effect of Intraoperative Stimulation Voltage on Facial Numbness Following Radiofrequency Thermocoagulation in the Treatment of Idiopathic Trigeminal Neuralgia.
Electric stimulation
Neuralgia
Numbness
Radiofrequency ablation
Trigeminal nerve disease
Voltage
Journal
Pain and therapy
ISSN: 2193-8237
Titre abrégé: Pain Ther
Pays: New Zealand
ID NLM: 101634491
Informations de publication
Date de publication:
15 Mar 2024
15 Mar 2024
Historique:
received:
02
01
2024
accepted:
19
02
2024
medline:
15
3
2024
pubmed:
15
3
2024
entrez:
15
3
2024
Statut:
aheadofprint
Résumé
Radiofrequency thermocoagulation (RFT) effectively alleviates idiopathic trigeminal neuralgia (ITN); however, postoperative facial numbness poses a significant challenge. This issue arises due to the close proximity of high-temperature thermocoagulation, which not only ablates pain-related nociceptive fibers but also affects tactile fibers. Intraoperative sensory stimulation voltage (SV), which reflects the distance between the RFT cannula and the target nerve, potentially possesses the ability to prevent tactile fiber injury. This study aimed to investigate the influence of SV on postoperative facial numbness and provide valuable insights to mitigate its occurrence. A retrospective analysis was performed on 72 ITN patients with maxillary division (V2) pain who underwent RFT between 2020 and 2022. Among them, 13 patients with SV ≤ 0.2 V constituted the low SV group. Subsequently, a matched-cohort analysis was conducted on the remaining 59 patients. The patients paired with the low SV patients were subsequently enrolled in the high SV group, adhering to a 1:1 match ratio. The primary outcome was the facial numbness scale assessment at 3 days, 3 months and 6 months post-surgery. The pain intensity and medication burden served as the secondary outcomes. We successfully matched a cohort consisting of 12 patients in the low SV group and 12 patients in the high SV group. Each patient experienced various degrees of facial numbness at 3 days post-RFT. Notably, the low SV group exhibited a higher incidence of moderate numbness (66.7% vs. 16.67%, P = 0.036), whereas the high SV group had more cases of mild numbness at the 6-month follow-up (25% vs. 83.3%, P = 0.012). Both groups demonstrated significant decreases in pain intensity and medication burden compared to before the operation. SV proved to be a reliable parameter for mitigating the degree of postoperative facial numbness in RFT treatment for ITN. A relatively high sensory SV ranging from 0.3 to 0.6 V during the RFT procedure results in less facial numbness in the treatment of ITN.
Identifiants
pubmed: 38489096
doi: 10.1007/s40122-024-00587-5
pii: 10.1007/s40122-024-00587-5
doi:
Types de publication
Journal Article
Langues
eng
Informations de copyright
© 2024. The Author(s).
Références
Zakrzewska JM, McMillan R. Trigeminal neuralgia: the diagnosis and management of this excruciating and poorly understood facial pain. Postgrad Med J. 2011;87(1028):410–6.
pubmed: 21493636
doi: 10.1136/pgmj.2009.080473
Cruccu G, Gronseth G, Alksne J, Argoff C, Brainin M, Burchiel K, et al. AAN-EFNS guidelines on trigeminal neuralgia management. Eur J Neurol. 2008;15(10):1013–28.
pubmed: 18721143
doi: 10.1111/j.1468-1331.2008.02185.x
Koopman JS, Dieleman JP, Huygen FJ, de Mos M, Martin CG, Sturkenboom MC. Incidence of facial pain in the general population. Pain. 2009;147(1–3):122–7.
pubmed: 19783099
doi: 10.1016/j.pain.2009.08.023
Dieleman JP, Kerklaan J, Huygen F, Bouma PAD, Sturkenboom M. Incidence rates and treatment of neuropathic pain conditions in the general population. Pain. 2008;137(3):681–8.
pubmed: 18439759
doi: 10.1016/j.pain.2008.03.002
Bendtsen L, Zakrzewska JM, Abbott J, Braschinsky M, Di Stefano G, Donnet A, et al. European Academy of Neurology guideline on trigeminal neuralgia. Eur J Neurol. 2019;26(6):831–49.
Zakrzewska JM, Lopez BC, Kim SE, Coakham HB. Patient reports of satisfaction after microvascular decompression and partial sensory rhizotomy for trigeminal neuralgia. Neurosurgery. 2005;56(6):1304–11.
pubmed: 15918947
doi: 10.1227/01.NEU.0000159883.35957.E0
Al-Quliti KW. Update on neuropathic pain treatment for trigeminal neuralgia. The pharmacological and surgical options. Neurosciences (Riyadh). 2015;20(2):107–14.
pubmed: 25864062
doi: 10.17712/nsj.2015.2.20140501
Howard SD, Soti V. How far has radiofrequency thermocoagulation come along as a treatment procedure in treating trigeminal neuralgia patients? Cureus. 2023;15(6): e40311.
pubmed: 37313286
pmcid: 10259628
Chong MS, Bahra A, Zakrzewska JM. Guidelines for the management of trigeminal neuralgia. Cleve Clin J Med. 2023;90(6):355–62.
pubmed: 37263669
doi: 10.3949/ccjm.90a.22052
Emril DR, Ho KY. Treatment of trigeminal neuralgia: role of radiofrequency ablation. J Pain Res. 2010;3:249–54.
pubmed: 21311718
pmcid: 3033033
Taha JM, Tew JM Jr. Comparison of surgical treatments for trigeminal neuralgia: reevaluation of radiofrequency rhizotomy. Neurosurgery. 1996;38(5):865–71.
pubmed: 8727810
doi: 10.1097/00006123-199605000-00001
Tang YZ, Wu BS, Yang LQ, Yue JN, He LL, Li N, et al. The long-term effective rate of different branches of idiopathic trigeminal neuralgia after single radiofrequency thermocoagulation: a cohort study. Medicine (Baltimore). 2015;94(45): e1994.
pubmed: 26559288
doi: 10.1097/MD.0000000000001994
Tang YZ, Jin D, Bian JJ, Li XY, Lai GH, Ni JX. Long-term outcome of computed tomography-guided percutaneous radiofrequency thermocoagulation for classic trigeminal neuralgia patients older than 70 years. J Craniofac Surg. 2014;25(4):1292–5.
pubmed: 25006910
doi: 10.1097/SCS.0000000000000591
Hong T, Ding Y, Yao P. Long-term efficacy and complications of radiofrequency thermocoagulation at different temperatures for the treatment of trigeminal neuralgia. Biochem Res Int. 2020;2020:3854284.
pubmed: 32211206
pmcid: 7077036
doi: 10.1155/2020/3854284
Letcher FS, Goldring S. The effect of radiofrequency current and heat on peripheral nerve action potential in the cat. J Neurosurg. 1968;29(1):42–7.
pubmed: 5674091
doi: 10.3171/jns.1968.29.1.0042
Frigyesi TL, Siegfried J, Broggi G. The selective vulnerability of evoked potentials in the trigeminal sensory root of graded thermocoagulation. Exp Neurol. 1975;49(1 Pt 1):11–21.
pubmed: 1183519
doi: 10.1016/0014-4886(75)90192-2
Mittal B, Thomas DG. Controlled thermocoagulation in trigeminal neuralgia. J Neurol Neurosurg Psychiatry. 1986;49(8):932–6.
pubmed: 3746327
pmcid: 1028956
doi: 10.1136/jnnp.49.8.932
Kanpolat Y, Savas A, Bekar A, Berk C. Percutaneous controlled radiofrequency trigeminal rhizotomy for the treatment of idiopathic trigeminal neuralgia: 25-year experience with 1600 patients. Neurosurgery. 2001;48(3):524–32.
pubmed: 11270542
doi: 10.1097/00006123-200103000-00013
Sekimoto K, Koizuka S, Saito S, Goto F. Thermogangliolysis of the Gasserian ganglion under computed tomography fluoroscopy. J Anesth. 2005;19(2):177–9.
pubmed: 15875140
doi: 10.1007/s00540-005-0307-3
Tang YZ, Yang LQ, Yue JN, Wang XP, He LL, Ni JX. The optimal radiofrequency temperature in radiofrequency thermocoagulation for idiopathic trigeminal neuralgia: a cohort study. Medicine (Baltimore). 2016;95(28): e4103.
pubmed: 27428194
doi: 10.1097/MD.0000000000004103
Yao P, Deng YY, Hong T, Wang ZB, Ma JM, Zhu YQ, et al. Radiofrequency thermocoagulation for V2/V3 idiopathic trigeminal neuralgia: effect of treatment temperatures on long-term clinical outcomes: a cohort study. Medicine (Baltimore). 2016;95(26): e4019.
pubmed: 27368021
doi: 10.1097/MD.0000000000004019
Yao P, Hong T, Wang ZB, Ma JM, Zhu YQ, Li HX, et al. Treatment of bilateral idiopathic trigeminal neuralgia by radiofrequency thermocoagulation at different temperatures. Medicine (Baltimore). 2016;95(29): e4274.
pubmed: 27442662
doi: 10.1097/MD.0000000000004274
Wang Z, Wang Z, Li K, Su X, Du C, Tian Y. Radiofrequency thermocoagulation for the treatment of trigeminal neuralgia. Exp Ther Med. 2022;23(1):17.
pubmed: 34815769
doi: 10.3892/etm.2021.10939
Mertyna P, Dewhirst MW, Halpern E, Goldberg W, Goldberg SN. Radiofrequency ablation: the effect of distance and baseline temperature on thermal dose required for coagulation. Int J Hyperthermia. 2008;24(7):550–9.
pubmed: 18608586
doi: 10.1080/02656730802035662
Obrzut SL, Hecht P, Hayashi K, Fanton GS, Thabit G 3rd, Markel MD. The effect of radiofrequency energy on the length and temperature properties of the glenohumeral joint capsule. Arthroscopy. 1998;14(4):395–400.
pubmed: 9620651
doi: 10.1016/S0749-8063(98)70007-6
Shi W, Rudra R, Vu TN, Gordin Y, Smith R, Kunselman AR. Sensory stimulation threshold: a viable tool to improve the outcome of lumbar facet radiofrequency denervation? J Pain Res. 2021;14:2113–9.
pubmed: 34285571
pmcid: 8286126
doi: 10.2147/JPR.S319622
Eskandar E, Kumar H, Boini A, Velasquez Botero F, El Hunjul GN, Nieto Salazar MA, et al. The role of radiofrequency ablation in the treatment of trigeminal neuralgia: a narrative review. Cureus. 2023;15(3): e36193.
pubmed: 37065382
pmcid: 10104592
Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalalgia. 2004;24(Suppl 1):9–160.
Tang YZ, Jin D, Li XY, Lai GH, Li N, Ni JX. Repeated CT-guided percutaneous radiofrequency thermocoagulation for recurrent trigeminal neuralgia. Eur Neurol. 2014;72(1–2):54–9.
pubmed: 24853911
doi: 10.1159/000357868
Li Y, Guo Y, Yang L, Ni J. Comparison of the short-term outcomes after low-temperature plasma radiofrequency ablation (coblation) in the Gasserian ganglion for the treatment of idiopathic trigeminal neuralgia. J Pain Res. 2019;12:1235–42.
pubmed: 31114305
pmcid: 6489685
doi: 10.2147/JPR.S199504
Harden RN, Weinland SR, Remble TA, Houle TT, Colio S, Steedman S, et al. Medication Quantification Scale Version III: update in medication classes and revised detriment weights by survey of American Pain Society Physicians. J Pain. 2005;6(6):364–71.
pubmed: 15943958
doi: 10.1016/j.jpain.2005.01.350
Jannetta PJ. Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. J Neurosurg. 1967;26(1):159–62.
doi: 10.3171/jns.1967.26.1part2.0159
Tew JM Jr, Keller JT. The treatment of trigeminal neuralgia by percutaneous radiofrequency technique. Clin Neurosurg. 1977;24:557–78.
pubmed: 583707
doi: 10.1093/neurosurgery/24.CN_suppl_1.557
Wang DD, Raygor KP, Cage TA, Ward MM, Westcott S, Barbaro NM, et al. Prospective comparison of long-term pain relief rates after first-time microvascular decompression and stereotactic radiosurgery for trigeminal neuralgia. J Neurosurg. 2018;128(1):68–77.
pubmed: 28298026
doi: 10.3171/2016.9.JNS16149
Barker FGN, Jannetta PJ, Bissonette DJ, Larkins MV, Jho HD. The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med. 1996;334(17):1077–83.
pubmed: 8598865
doi: 10.1056/NEJM199604253341701
Elias WJ, Burchiel KJ. Microvascular decompression. Clin J Pain. 2002;18(1):35–41.
pubmed: 11803301
doi: 10.1097/00002508-200201000-00006
Resnick DK, Levy EI, Jannetta PJ. Microvascular decompression for pediatric onset trigeminal neuralgia. Neurosurgery. 1998;43(4):804–7.
pubmed: 9766307
doi: 10.1097/00006123-199810000-00047
Sweet WH, Wepsic JG. Controlled thermocoagulation of trigeminal ganglion and rootlets for differential destruction of pain fibers. 1. Trigeminal neuralgia. J Neurosurg. 1974;40(2):143–56.
pubmed: 4587949
doi: 10.3171/jns.1974.40.2.0143
Lopez BC, Hamlyn PJ, Zakrzewska JM. Systematic review of ablative neurosurgical techniques for the treatment of trigeminal neuralgia. Neurosurgery. 2004;54(4):973–82.
pubmed: 15046666
doi: 10.1227/01.NEU.0000114867.98896.F0
Teixeira MJ, Siqueira SR, Almeida GM. Percutaneous radiofrequency rhizotomy and neurovascular decompression of the trigeminal nerve for the treatment of facial pain. Arq Neuropsiquiatr. 2006;64(4):983–9.
pubmed: 17221008
doi: 10.1590/S0004-282X2006000600018
Koopman JS, de Vries LM, Dieleman JP, Huygen FJ, Stricker BH, Sturkenboom MC. A nationwide study of three invasive treatments for trigeminal neuralgia. Pain. 2011;152(3):507–13.
pubmed: 21239113
doi: 10.1016/j.pain.2010.10.049
Sterman-Neto H, Fukuda CY, Duarte KP, da Silva VA, Rodrigues ALL, Galhardoni R, et al. Balloon compression vs radiofrequency for primary trigeminal neuralgia: a randomized, controlled trial. Pain. 2021;162(3):919–29.
pubmed: 32947541
doi: 10.1097/j.pain.0000000000002070
Vinas FC, Zamorano L, Dujovny M, Zhao JZ, Hodgkinson D, Ho KL, et al. In vivo and in vitro study of the lesions produced with a computerized radiofrequency system. Stereotact Funct Neurosurg. 1992;58(1–4):121–33.
pubmed: 1439329
doi: 10.1159/000098985
Cheng JS, Lim DA, Chang EF, Barbaro NM. A review of percutaneous treatments for trigeminal neuralgia. Neurosurgery. 2014;10:25–33.
pubmed: 24509496
Zhao YX, Miao SH, Tang YZ, He LL, Yang LQ, Ma Y, et al. Trigeminal somatosensory-evoked potential: a neurophysiological tool to monitor the extent of lesion of ganglion radiofrequency thermocoagulation in idiopathic trigeminal neuralgia: a case-control study. Medicine (Baltimore). 2017;96(3): e5872.
pubmed: 28099345
doi: 10.1097/MD.0000000000005872