Effectiveness of Fluoroscopic Guided Gasserian Ganglion Pulsed and continuous Radiofrequency Versus Ultrasound Guided Pulsed and Continuous Radiofrequency via Lateral pterygoid Plate For The Management of Trigeminal Neuralgia

Document Type : Original Article

Authors

Anesthesiology, Intensive Care and pain management, Faculty of Medicine for Boys, Al-Azhar University, Cairo, Egypt

/10.21608/aimj.2025.446465

Abstract

Background: The trigeminal nerve (V) is the largest and fifth cranial nerve, and its function is to detect sensory inputs originating from the craniofacial region.
Aim: To compare Fluoroscopic Image-Guided Pulsed Radiofrequency (PRF) and Ultrasound-Guided PRF, aiming to find an effective, safe, and minimally destructive treatment after ineffective conservative treatment.
Patients and methods: This prospective trial was performed at Al-Azhar University Hospitals and started in October 2022, with a duration of 2 years.
Results: An insignificant distinction was observed in the quality of life among the groups at the beginning of the investigation (p>0.05). Nevertheless, there significant variances have been observed in the quality of life among the groups following one month, three months, and six months. (p<0.05). Additionally, there were significant variances in case satisfaction among the groups following one month and highly significant distinctions following three months and six months (p<0.05).
Conclusion: Fluoroscopic-guided Gasserian Ganglion Pulsed and continuous Radiofrequency are more effective and safer than Ultrasound-Guided pulsed radiofrequency combined with low-temperature continuous radiofrequency for the Management of Trigeminal Neuralgia.

Keywords

Al-Azhar International Medical Journal
Volume 2025, Issue 1
January 2025
Pages 264-269

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