Effectiveness of Fluoroscopic Guided Gasserian Ganglion Pulsed and continuous Radiofrequency Versus Ultrasound Guided Pulsed and Continuous Radiofrequency via Lateral pterygoid Plate For The Management of Trigeminal Neuralgia | ||||
| Al-Azhar International Medical Journal | ||||
| Volume 2025, Issue 1, January 2025, Page 264-269 PDF (329.83 K) | ||||
| Document Type: Original Article | ||||
| DOI: /10.21608/aimj.2025.446465 | ||||
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| Authors | ||||
| Mohamed Hussein Mohamed Hamada; Othman Saad-Eldien Yahia Mousa; Mahmoud Mosa Rashad Elbayyar* | ||||
| Anesthesiology, Intensive Care and pain management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt | ||||
| Abstract | ||||
| Background: The trigeminal nerve (V) is the largest and fifth cranial nerve, and its function is to detect sensory inputs originating from the craniofacial region. Aim: To compare Fluoroscopic Image-Guided Pulsed Radiofrequency (PRF) and Ultrasound-Guided PRF, aiming to find an effective, safe, and minimally destructive treatment after ineffective conservative treatment. Patients and methods: This prospective trial was performed at Al-Azhar University Hospitals and started in October 2022, with a duration of 2 years. Results: An insignificant distinction was observed in the quality of life among the groups at the beginning of the investigation (p>0.05). Nevertheless, there significant variances have been observed in the quality of life among the groups following one month, three months, and six months. (p<0.05). Additionally, there were significant variances in case satisfaction among the groups following one month and highly significant distinctions following three months and six months (p<0.05). Conclusion: Fluoroscopic-guided Gasserian Ganglion Pulsed and continuous Radiofrequency are more effective and safer than Ultrasound-Guided pulsed radiofrequency combined with low-temperature continuous radiofrequency for the Management of Trigeminal Neuralgia. | ||||
| Keywords | ||||
| Trigeminal Neuralgia; Ultrasound Guided Pulsed; Fluoroscopic Guided Gasserian | ||||
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