Continuous Inferior Alveolar Nerve Block Using an Indwelling Catheter and Inferior Maxillary Artery Embolization for the Management of Atypical Trigeminal Neuralgia

DOI: 10.4236/ojanes.2013.39079   PDF   HTML     3,896 Downloads   5,341 Views   Citations

Abstract

A 40-years-old female patient with severe right facial pain with a throbbing component along the mandibular division of the trigeminal nerve resistant to medical management. Continuous inferior alveolar nerve block with local anesthetics using an indwelling catheter provided a complete pain resolution for the patient for 2 weeks, after which the catheter got infected and was removed. A trial of balloon occlusion of the right internal maxillary artery provided complete resolution of the throbbing component of the patient’s pain. This was followed by permanent embolization with multiple coils.

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S. Abdel-Aziz and A. Ghaleb, "Continuous Inferior Alveolar Nerve Block Using an Indwelling Catheter and Inferior Maxillary Artery Embolization for the Management of Atypical Trigeminal Neuralgia," Open Journal of Anesthesiology, Vol. 3 No. 9, 2013, pp. 375-378. doi: 10.4236/ojanes.2013.39079.

Conflicts of Interest

The authors declare no conflicts of interest.

References

[1] H. Merskey and N. Bogduk, “Classification of Chronic Pain. Descriptors of Chronic Pain Syndromes and Definitions of Pain Terms,” 2nd Edition, IASP Press, Seattle, 1994.
[2] J. S. Koopman, J. P. Dieleman, F. J. Huygen, M. de Mos, C. G. Martin and M. C. Sturkenboom, “Incidence of Facial Pain in the General Population,” Pain, Vol. 147, No. 1-3, 2009, pp. 122-127.
http://dx.doi.org/10.1016/j.pain.2009.08.023
[3] V. R. Aggarwal, G. J. Macfarlane, T. M. Farragher and J. McBeth, “Risk Factors for Onset of Chronic Oro-Facial Pain—Results of the North Cheshire Oro-Facial Pain Prospective Population Study,” Pain, Vol. 149, No. 2, 2010, pp. 354-359. http://dx.doi.org/10.1016/j.pain.2010.02.040
[4] F. Yoshimasu, L.T. Kurland and L. R. Elveback, “Tic Douloureux in Rochester, Minnesota, 1945-1969,” Neurology, Vol. 22, No. 9, 1972, pp. 952-956.
http://dx.doi.org/10.1212/WNL.22.9.952
[5] S. Katusic, D. B. Williams, C. M. Beard, E. J. Bergstralh and L. T. Kurland, “Epidemiology and Clinical Features of Idiopathic Trigeminal Neuralgia and Glossopharyngeal Neuralgia: Similarities and Differences, Rochester, Minnesota, 1945-1984,” Neuroepidemiology, Vol. 10, No. 5-6, 1991, pp. 276-281. http://dx.doi.org/10.1159/000110284
[6] D. Bowsher, “Trigeminal Neuralgia: An Anatomically Oriented Review,” Clinical Anatomy, Vol. 10, No. 6, 1997, pp. 409-415.
http://dx.doi.org/10.1002/(SICI)1098-2353(1997)10:6<409::AID-CA7>3.0.CO;2-J
[7] A. J. Brito, “Trigeminal Neuralgia,” Acta Médica Portuguesa, Vol. 12, No. , 1999, pp. 187-193.
[8] F. G. Barker, P. J. Jannetta, R. P. Babu, et al., “Long-Term Outcome after Operation for Trigeminal Neuralgia in Patients with Posterior Fossa Tumors,” Journal of Neurosurgery, Vol. 84, No. 5, 1996, pp. 818-825.
http://dx.doi.org/10.3171/jns.1996.84.5.0818
[9] S. C. Bagheri, F. Farhidvash and V. J. Perciaccante, “Diagnosis and Treatment of Patients with Trigeminal Neuralgia,” The Journal of the American Dental Association, Vol. 135, No. 12, 2004, pp. 1713-1717.
[10] P. J. Wiffen, S. Collins, H. J. McQuay, D. Carroll, A. Jadad and R. A. Moore, “Anticonvulsant Drugs for Acute and Chronic Pain,” The Cochrane Database Systematic Reviews, Vol. 20, No. 3, 2005, pp.
[11] G. Cruccu, G. Gronseth, J. Alksne, et al., “AAN-EFNS Guidelines on Trigeminal Neuralgia Management,” European Journal of Neurology, Vol. 15, No. 10, 2008, pp. 1013-1028.
http://dx.doi.org/10.1111/j.1468-1331.2008.02185.x
[12] G. H. Fromm, C. F. Terrence and A. S. Chattha, “Baclofen in the Treatment of Trigeminal Neuralgia: Double-Blind Study and Long-Term Follow-Up,” Annals of Neurology, Vol. 15, No. 3, 1984, pp. 240-244.
http://dx.doi.org/10.1002/ana.410150306
[13] J. M. Zakrzewska, Z. Chaudhry, T. J. Nurmikko, D. W. Patton and E. L. Mullens, “Lamotrigine (Lamictal) in Refractory Trigeminal Neuralgia: Results from a Double-Blind Placebo Controlled Crossover Trial,” Pain, Vol. 73, No. 2, 1997, pp. 223-230.
http://dx.doi.org/10.1016/S0304-3959(97)00104-8
[14] P. Janetta, “Trigeminal Neuralgia: Treatment by Microvascular Decompression,” In: R. Wilkins and S. Regachary, Eds., Neurosurgery, McGraw-Hill, New York, 1996, pp. 3961-3968.
[15] J. Hai, S. T. Li and Q. G. Pan, “Treatment of Atypical Trigeminal Neuralgia with Microvascular Decompression,” Neurology India, Vol. 54, No. 1, 2005, pp. 53-56.
http://dx.doi.org/10.4103/0028-3886.24706
[16] Z. Sarsam, M. Garcia-Finana, T. J. Nurmikko, T. R. Varma, P. Eldridge, “The Long-Term Outcome of Microvascular Decompression for Trigeminal Neuralgia,” British Journal of Neurosurgery, Vol. 24, No. 1, 2010, pp. 8-25.
http://dx.doi.org/10.3109/02688690903370289
[17] A. A. Dhople, J. R. Adams, W. W. Maggio, S. A. Naqvi, W. F. Regine and Y. Kwok, “Long-Term Outcomes of Gamma Knife Radiosurgery for Classic Trigeminal Neuralgia: Implications of Treatment and Critical Review of the Literature Clinical Article,” Journal of Neurosurgery, Vol. 111, No. 2, 2009, pp. 351-358.
http://dx.doi.org/10.3171/2009.2.JNS08977
[18] J. Regis, P. Metellus, M. Hayashi, P. Roussel, A. Donnet and F. Bille-Turc, “Prospective Controlled Trial of Gamma Knife Surgery for Essential Trigeminal Neuralgia,” Journal of Neurosurgery, Vol. 104, No. 6, 2006, pp. 913-924. http://dx.doi.org/10.3171/jns.2006.104.6.913
[19] M. Umino, H. Kohase, S. Ideguchi and N. Sakurai, “LongTerm Pain Control in Trigeminal Neuralgia with Local Anesthetics Using an Indwelling Catheter in the Mandibular Nerve,” The Clinical Journal of Pain, Vol. 18, No. 3, 2002, pp. 196-199.
http://dx.doi.org/10.1097/00002508-200205000-00010
[20] J. E. Cohen, S. Moscovici, J. M. Gomori, R. Eliashar, J. Weinberger and E. Itshavek, “Selective Endovascular Embolization for Refractory Idiopathic Epistaxis Is a Safe and Effective Therapeutic Option: Technique, Complications, and Outcomes,” Journal of Clinical Neuroscience, Vol. 19, No. 5, 2012, pp. 687-690.
http://dx.doi.org/10.1016/j.jocn.2011.08.019
[21] S. T. Shuker, “The Immediate Lifesaving Management of Maxillofacial, Life-Threatening Haemorrhages due to IED and/or Shrapnel Injuries: ‘When Hazard Is in Hesitation, Not in the Action’,” Journal of Cranio-Maxillofacial Surgery, Vol. 40, No. 6, 2012, pp. 534-540.
http://dx.doi.org/10.1016/j.jcms.2011.09.005
[22] V. Novak, P. Bosniakovic, S. Ristic, A. Kostic, B. Jelenkovic and M. Novak, “Occlusion of Maxillary Artery in Treatment of Trigeminal Neuralgia,” Medicinski Pregled, Vol. 65, No. 7-8, 2012, pp. 281-284.
http://dx.doi.org/10.2298/MPNS1208281N

  
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