A 12-month prospective study of gasserian ganglion stimulation for trigeminal neuropathic pain

Stereotact Funct Neurosurg. 2007;85(5):216-24. doi: 10.1159/000103260. Epub 2007 May 25.

Abstract

Aims: Trigeminal neuropathic pain is a broad diagnostic category that includes pain of several etiologies and excludes trigeminal neuralgia. The authors report a prospective series of percutaneous gasserian ganglion stimulation for trigeminal neuropathic pain.

Methods: Patients who experienced >50% reduction in pain from a 7- to 10-day trial period underwent permanent implantation and were prospectively followed.

Results: Eight of 10 trialed patients received a permanent implant. At the 12-month follow-up, 2 patients had been explanted and 1 was lost to follow-up. Three (all working at that the time) continued to experience >50% improvement in pain.

Discussion: The results in this series were variable but 3 patients showed long-term improvements. Patients who continued to work responded better to treatment.

MeSH terms

  • Adult
  • Aged
  • Disability Evaluation
  • Electric Stimulation Therapy* / methods
  • Electrodes, Implanted
  • Employment
  • Female
  • Fluoroscopy
  • Heart Septum / diagnostic imaging
  • Humans
  • Male
  • Middle Aged
  • Pain Measurement
  • Prospective Studies
  • Quality of Life
  • Stereotaxic Techniques
  • Time Factors
  • Treatment Outcome
  • Trigeminal Ganglion / physiopathology*
  • Trigeminal Neuralgia / physiopathology*
  • Trigeminal Neuralgia / therapy*