Trigeminal nevraljide radyofrekans tedavisi

Year 2022, Volume: 2 Issue: 2, 31 - 35, 25.12.2022

Ayça Köse Zehra Göksu Ulusoy Derviş Mansuri Yılmaz

Abstract

Trigeminal nevralji (TN), vücudumuzda kafa ve yüzdeki duyu hissini sağlayan 5. sinirin (Trigeminal sinir) bir kısmının veya tamamının, tek taraflı etkilenmesiyle ortaya çıkan, paroksismal veya sürekli ağrıyla karakterize bir hastalıktır. TN, kranial nevraljiler içerisinde en sık karşılaştığımız hastalıktır. Yaşam kalitesini olumsuz etkileyen ve zaman zaman depresyona yol açabilen TN’nin semptomları sıklıkla farklı hastalıklarla karıştırıldığından dolayı tanısı zorlaşabilmektedir. Hastalığın tanısı yalnızca semptomlara bağlı olarak konulmaktadır. Dünyada her 100.000 kişinin 5’i trigeminal nevralji tanısı almaktadır. Bu sayıyı Türkiye’ye oranladığımızda, ülkemizde her sene 80 milyon kişilik nüfustan 4000 kişiye trigeminal nevralji tanısı konulmaktadır. Radyofrekans tedavisi ise ağrı duyusunu taşıyan sinirleri bloke ederek ağrıyı ortadan kaldırmayı hedefleyen bir yöntemdir. Tedavide her ne kadar ilk tercih ilaç tedavisi olsa da radyofrekans termokoagülasyon ilaç tedavisinin yeterli gelmediği durumlarda veya açık cerrahi girişim için uygun olmayan hastalarda tercih edilebilen trigeminal nevralji tedavisindeki en etkin ve riski düşük yöntemlerden birisidir.

Keywords

trigeminal nevralji, ağrı, radyofrekans tedavisi

Radiofrequency treatment in trigeminal neuralgia

Abstract

Trigeminal neuralgia (TN) is a disease characterized by paroxysmal or constant pain, which occurs when part or all of the 5th nerve (Trigeminal nerve), which provides sensation in the head and face, is affected unilaterally in our body. TN is the most common disease among cranial neuralgias. The diagnosis of TN, which negatively affects the quality of life and can cause depression from time to time, can be difficult because its symptoms are often confused with other diseases. The diagnosis of the disease is made only on the basis of symptoms. 5 out of every 100,000 people in the world are diagnosed with trigeminal neuralgia. When we compare this number to Turkey, 4000 people out of 80 million people in our country are diagnosed with trigeminal neuralgia every year. Radiofrequency therapy, on the other hand, is a method that aims to eliminate pain by blocking the nerves that carry the sense of pain. Although drug therapy is the first choice in treatment, radiofrequency thermocoagulation is one of the most effective and low-risk methods in the treatment of trigeminal neuralgia, which can be preferred in cases where drug therapy is not sufficient or in patients who are not suitable for open surgery.

Keywords

trigeminal neuralgia, pain, radiofrequency treatment

References

• KAYNAKÇA 1) Khan M, Nishi SE, Hassan SN, Islam MA, Gan SH. Trigeminal Neuralgia, Glossopharyngeal Neuralgia, and Myofascial Pain Dysfunction Syndrome: An Update. Pain Res Manag. 2017;2017:7438326.
• 2) Krafft RM. Trigeminal neuralgia. Am Fam Physician. 2008;77(9):1291-1296.
• 3) Maarbjerg S, Heinskou TB, Wolfram F, Rochat P, Brennum J, Bendtsen L. Diagnostik og behandling af trigeminusneuralgi. Videnskab. 2016;178:V02160146.
• 4) Obermann M. Recent advances in understanding/managing trigeminal neuralgia. F1000Res. 2019;8:F1000 Faculty Rev-505.
• 5) Bennetto L, Patel NK, Fuller G. Trigeminal neuralgia and its management. BMJ. 2007;334(7586):201-205.
• 6) Gambeta E, Chichorro JG, Zamponi GW. Trigeminal neuralgia: An overview from pathophysiology to pharmacological treatments. Mol Pain. 2020;16:1744806920901890.
• 7) Chen Q, Yi DI, Perez JNJ, et al. The Molecular Basis and Pathophysiology of Trigeminal Neuralgia. Int J Mol Sci. 2022;23(7):3604.
• 8) Liao JY, Zhou TH, Chen BK, Liu ZX. Schwann cells and trigeminal neuralgia. Mol Pain. 2020;16:1744806920963809.
• 9) Gerwin R. Chronic Facial Pain: Trigeminal Neuralgia, Persistent Idiopathic Facial Pain, and Myofascial Pain Syndrome-An Evidence-Based Narrative Review and Etiological Hypothesis. Int J Environ Res Public Health. 2020;17(19):7012.
• 10) Li Y, Yang L, Ni J, Dou Z. Microvascular decompression and radiofrequency for the treatment of trigeminal neuralgia: a meta-analysis. J Pain Res. 2019;12:1937-1945.
• 11) Gunduz HB, Cevik OM, Asilturk M, et al. Percutaneous Radiofrequency Thermocoagulation in Trigeminal Neuralgia : Analysis of Early and Late Outcomes of 156 Cases and 209 Interventions. J Korean Neurosurg Soc. 2021;64(5):827-836.
• 12) Zakrzewska JM, Linskey ME. Trigeminal neuralgia. BMJ Clin Evid. 2014;2014:1207.
• 13) Zhang C, Mei L, Xia M, Shen J, Huang B, Huang X. CT-guided radiofrequency treatment of trigeminal neuralgia at different temperatures through foramen rotundus. Am J Transl Res. 2021;13(4):3102-3110.
• 14) chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/http://uu245-211.uludag.edu.tr/bitstream/11452/26818/1/15_1_20.pdf
• 15) chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://www.researchgate.net/profile/Emrah-Celtikci/publication/310952687_Deneyimlerimiz_Isiginda_Trigeminal_Nevraljide_Retrogasserian_Termokoagulasyon/links/583b855908ae3a74b4a06c70/Deneyimlerimiz-Isiginda-Trigeminal-Nevraljide-Retrogasserian-Termokoaguelasyon.pdf
• 16) chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://norosirurji.dergisi.org/pdf/pdf_TND_1453.pdf