دورية أكاديمية
Bipolar, high-voltage, long-duration pulsed radiofrequency ablation of the Gasserian ganglion for the treatment of trigeminal neuralgia in a patient with a cardiac implantable electronic device: illustrative case.
| العنوان: | Bipolar, high-voltage, long-duration pulsed radiofrequency ablation of the Gasserian ganglion for the treatment of trigeminal neuralgia in a patient with a cardiac implantable electronic device: illustrative case. |
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| المؤلفون: | Sufianov AA; 1Department of Neurosurgery, I. M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.; 2'Federal Centre of Neurosurgery' of Ministry of Health of the Russian Federation (Tyumen), Tyumen, Russian Federation.; 3Research Institute of Neurosurgery, Peoples' Friendship University of Russia (RUDN University), Moscow, Russian Federation.; 4Department of Neurosurgery, King Edward Medical University, Lahore, Pakistan., Garifullina NA; 1Department of Neurosurgery, I. M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation., Shapkin AG; 2'Federal Centre of Neurosurgery' of Ministry of Health of the Russian Federation (Tyumen), Tyumen, Russian Federation.; 5Tyumen State Medical University of the Ministry of Health of Russia, Tyumen, Russian Federation., Markin ES; 2'Federal Centre of Neurosurgery' of Ministry of Health of the Russian Federation (Tyumen), Tyumen, Russian Federation., Baldoncini M; 6Department of Neurological Surgery, San Fernando Hospital, Buenos Aires, Argentina., Borba LAB; 7Department of Neurosurgery, Federal University of Paraná, Curitiba, Brazil., Encarnacion Ramirez MJ; 8Neurosurgical Department, Peoples' Friendship University of Russia (RUDN University), Moscow, Russian Federation; and., Sufianov RA; 1Department of Neurosurgery, I. M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russian Federation.; 9Department of Neurooncology, N. N. Blokhin National Medical Research Center of Oncology, Ministry of Health of the Russian Federation, Moscow, Russian Federation. |
| المصدر: | Journal of neurosurgery. Case lessons [J Neurosurg Case Lessons] 2024 Jan 22; Vol. 7 (4). Date of Electronic Publication: 2024 Jan 22 (Print Publication: 2024). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: American Association of Neurosurgeons dba Journal of Neurosurgery Publishing Group Country of Publication: United States NLM ID: 9918227275606676 Publication Model: Electronic-Print Cited Medium: Internet ISSN: 2694-1902 (Electronic) Linking ISSN: 26941902 NLM ISO Abbreviation: J Neurosurg Case Lessons Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Original Publication: [Charlottesville, VA] : American Association of Neurosurgeons dba Journal of Neurosurgery Publishing Group, [2021]- |
| مستخلص: | Background: One of the common methods of treating trigeminal neuralgia (TN) nowadays is radiofrequency therapy. However, it has serious limitations in patients with a cardiac pacemaker because of electromagnetic interference. Therefore, it is crucial to select optimal radiofrequency ablation parameters to make this procedure safe with favorable outcomes for such patients. Observations: In this study, the authors present a case of a 70-year-old man with a history of cardiac pacemaker dependency and previous microvascular decompression with complaints of severe, constant facial pain. After reprogramming the cardiac implantable electronic device (CIED), the authors performed bipolar, high-voltage, long-duration pulsed radiofrequency therapy (PRFT) of the Gasserian ganglion under electrocardiography and pulse rate control in the pre-, intra-, and postoperative periods. There were no cardiovascular or neurological complications after PRFT. The patient reported relief of pain after the procedure, and at the 9-month follow-up, he was pain-free. Lessons: This clinical case demonstrates that the use of bipolar, high-voltage PRFT for TN treatment in patients with a CIED can be safe and effective, provided that the rules and pacemaker instructions are followed. It is necessary to use ablative treatment with caution and to guide the patient in collaboration with a cardiac surgeon and an anesthesiologist resuscitator. |
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| فهرسة مساهمة: | Keywords: Gasserian ganglion; high-voltage; long-duration pulsed radiofrequency therapy; trigeminal neuralgia |
| تواريخ الأحداث: | Date Created: 20240122 Latest Revision: 20240125 |
| رمز التحديث: | 20240125 |
| مُعرف محوري في PubMed: | PMC10805589 |
| DOI: | 10.3171/CASE23495 |
| PMID: | 38252926 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 2694-1902 |
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| DOI: | 10.3171/CASE23495 |