Long-Term Outcomes of Percutaneous Radiofrequency Thermocoagulation of Gasserian Ganglion for 2nd- and Multiple-Division Trigeminal Neuralgia

Shizuko Kosugi, Masahiro Shiotani, Yasuhisa Otsuka, Takeshi Suzuki, Nobuyuki Katori, Saori Hashiguchi, Hiroshi Morisaki

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objectives: The objective of this study was to examine the long-term outcome of percutaneous radiofrequency thermocoagulation (PRT) of the Gasserian ganglion for the 2nd division and multiple division trigeminal neuralgia (TN), compared to the isolated 3rd division TN. Methods: One hundred and forty-eight procedures performed in 89 patients with typical TN between April 2004 and September 2011 in a single pain center were retrospectively analyzed. Baseline characteristics of these patients, immediate outcome, duration pain-free, and complications were obtained from their medical records and questionnaires sent in June 2012. Duration pain-free was assessed by Kaplan-Meier analysis. Results: Of the 148 PRT of the Gasserian ganglion, 37 procedures were performed for isolated 2nd-division TN (V2 TN), 67 procedures were for both 2nd- and 3rd-division TN (V2 + V3 TN), and 38 procedures were for isolated 3rd-division TN (V3 TN). The remaining 6 procedures were performed for V1 + V2 TN and V1 + V2 + V3 TN. Immediate success rates of PRT for V2 TN, V2 + V3 TN, and V3 TN were 100%, 86.6%, and 100%, respectively, whereas the durations pain-free for V2 TN and V2 + V3 TN were significantly shorter than that for V3 TN (9, 12, and 36 months, respectively: P = 0.012). Conclusion: For 2nd-division TN and multiple-division TN, less long-term pain relief after PRT of the Gasserian ganglion can be expected compared with that for isolated trigeminal 3rd-division neuralgia, even if immediate pain relief is achieved.

Original languageEnglish
Pages (from-to)223-228
Number of pages6
JournalPain Practice
Volume15
Issue number3
DOIs
Publication statusPublished - 2015 Mar 1

Fingerprint

Trigeminal Ganglion
Trigeminal Neuralgia
Electrocoagulation
Pain Clinics
Pain

Keywords

  • Gasserian ganglion
  • Outcomes
  • Radiofrequency ablation
  • Trigeminal neuralgia
  • Trigeminal neuralgia, idiopathic

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Long-Term Outcomes of Percutaneous Radiofrequency Thermocoagulation of Gasserian Ganglion for 2nd- and Multiple-Division Trigeminal Neuralgia. / Kosugi, Shizuko; Shiotani, Masahiro; Otsuka, Yasuhisa; Suzuki, Takeshi; Katori, Nobuyuki; Hashiguchi, Saori; Morisaki, Hiroshi.

In: Pain Practice, Vol. 15, No. 3, 01.03.2015, p. 223-228.

Research output: Contribution to journalArticle

@article{556ceadf3cc6426fa22096b5dc0926f5,
title = "Long-Term Outcomes of Percutaneous Radiofrequency Thermocoagulation of Gasserian Ganglion for 2nd- and Multiple-Division Trigeminal Neuralgia",
abstract = "Objectives: The objective of this study was to examine the long-term outcome of percutaneous radiofrequency thermocoagulation (PRT) of the Gasserian ganglion for the 2nd division and multiple division trigeminal neuralgia (TN), compared to the isolated 3rd division TN. Methods: One hundred and forty-eight procedures performed in 89 patients with typical TN between April 2004 and September 2011 in a single pain center were retrospectively analyzed. Baseline characteristics of these patients, immediate outcome, duration pain-free, and complications were obtained from their medical records and questionnaires sent in June 2012. Duration pain-free was assessed by Kaplan-Meier analysis. Results: Of the 148 PRT of the Gasserian ganglion, 37 procedures were performed for isolated 2nd-division TN (V2 TN), 67 procedures were for both 2nd- and 3rd-division TN (V2 + V3 TN), and 38 procedures were for isolated 3rd-division TN (V3 TN). The remaining 6 procedures were performed for V1 + V2 TN and V1 + V2 + V3 TN. Immediate success rates of PRT for V2 TN, V2 + V3 TN, and V3 TN were 100{\%}, 86.6{\%}, and 100{\%}, respectively, whereas the durations pain-free for V2 TN and V2 + V3 TN were significantly shorter than that for V3 TN (9, 12, and 36 months, respectively: P = 0.012). Conclusion: For 2nd-division TN and multiple-division TN, less long-term pain relief after PRT of the Gasserian ganglion can be expected compared with that for isolated trigeminal 3rd-division neuralgia, even if immediate pain relief is achieved.",
keywords = "Gasserian ganglion, Outcomes, Radiofrequency ablation, Trigeminal neuralgia, Trigeminal neuralgia, idiopathic",
author = "Shizuko Kosugi and Masahiro Shiotani and Yasuhisa Otsuka and Takeshi Suzuki and Nobuyuki Katori and Saori Hashiguchi and Hiroshi Morisaki",
year = "2015",
month = "3",
day = "1",
doi = "10.1111/papr.12163",
language = "English",
volume = "15",
pages = "223--228",
journal = "Pain Practice",
issn = "1530-7085",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Long-Term Outcomes of Percutaneous Radiofrequency Thermocoagulation of Gasserian Ganglion for 2nd- and Multiple-Division Trigeminal Neuralgia

AU - Kosugi, Shizuko

AU - Shiotani, Masahiro

AU - Otsuka, Yasuhisa

AU - Suzuki, Takeshi

AU - Katori, Nobuyuki

AU - Hashiguchi, Saori

AU - Morisaki, Hiroshi

PY - 2015/3/1

Y1 - 2015/3/1

N2 - Objectives: The objective of this study was to examine the long-term outcome of percutaneous radiofrequency thermocoagulation (PRT) of the Gasserian ganglion for the 2nd division and multiple division trigeminal neuralgia (TN), compared to the isolated 3rd division TN. Methods: One hundred and forty-eight procedures performed in 89 patients with typical TN between April 2004 and September 2011 in a single pain center were retrospectively analyzed. Baseline characteristics of these patients, immediate outcome, duration pain-free, and complications were obtained from their medical records and questionnaires sent in June 2012. Duration pain-free was assessed by Kaplan-Meier analysis. Results: Of the 148 PRT of the Gasserian ganglion, 37 procedures were performed for isolated 2nd-division TN (V2 TN), 67 procedures were for both 2nd- and 3rd-division TN (V2 + V3 TN), and 38 procedures were for isolated 3rd-division TN (V3 TN). The remaining 6 procedures were performed for V1 + V2 TN and V1 + V2 + V3 TN. Immediate success rates of PRT for V2 TN, V2 + V3 TN, and V3 TN were 100%, 86.6%, and 100%, respectively, whereas the durations pain-free for V2 TN and V2 + V3 TN were significantly shorter than that for V3 TN (9, 12, and 36 months, respectively: P = 0.012). Conclusion: For 2nd-division TN and multiple-division TN, less long-term pain relief after PRT of the Gasserian ganglion can be expected compared with that for isolated trigeminal 3rd-division neuralgia, even if immediate pain relief is achieved.

AB - Objectives: The objective of this study was to examine the long-term outcome of percutaneous radiofrequency thermocoagulation (PRT) of the Gasserian ganglion for the 2nd division and multiple division trigeminal neuralgia (TN), compared to the isolated 3rd division TN. Methods: One hundred and forty-eight procedures performed in 89 patients with typical TN between April 2004 and September 2011 in a single pain center were retrospectively analyzed. Baseline characteristics of these patients, immediate outcome, duration pain-free, and complications were obtained from their medical records and questionnaires sent in June 2012. Duration pain-free was assessed by Kaplan-Meier analysis. Results: Of the 148 PRT of the Gasserian ganglion, 37 procedures were performed for isolated 2nd-division TN (V2 TN), 67 procedures were for both 2nd- and 3rd-division TN (V2 + V3 TN), and 38 procedures were for isolated 3rd-division TN (V3 TN). The remaining 6 procedures were performed for V1 + V2 TN and V1 + V2 + V3 TN. Immediate success rates of PRT for V2 TN, V2 + V3 TN, and V3 TN were 100%, 86.6%, and 100%, respectively, whereas the durations pain-free for V2 TN and V2 + V3 TN were significantly shorter than that for V3 TN (9, 12, and 36 months, respectively: P = 0.012). Conclusion: For 2nd-division TN and multiple-division TN, less long-term pain relief after PRT of the Gasserian ganglion can be expected compared with that for isolated trigeminal 3rd-division neuralgia, even if immediate pain relief is achieved.

KW - Gasserian ganglion

KW - Outcomes

KW - Radiofrequency ablation

KW - Trigeminal neuralgia

KW - Trigeminal neuralgia, idiopathic

UR - http://www.scopus.com/inward/record.url?scp=84924246184&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84924246184&partnerID=8YFLogxK

U2 - 10.1111/papr.12163

DO - 10.1111/papr.12163

M3 - Article

C2 - 24433261

AN - SCOPUS:84924246184

VL - 15

SP - 223

EP - 228

JO - Pain Practice

JF - Pain Practice

SN - 1530-7085

IS - 3

ER -