Login to MyKarger

New to MyKarger? Click here to sign up.



Login with Facebook

Forgot your password?

Authors, Editors, Reviewers

For Manuscript Submission, Check or Review Login please go to Submission Websites List.

Submission Websites List

Institutional Login
(Shibboleth or OpenAthens)

For the academic login, please select your organization on the next page. You will be redirected to verify your credentials.

OpenAthens/Shibboleth

Clinical Study

A 12-Month Prospective Study of Gasserian Ganglion Stimulation for Trigeminal Neuropathic Pain

Machado A.a · Ogrin M.a · Rosenow J.M.b · Henderson J.M.c

Author affiliations

aCenter for Neurological Restoration, Cleveland Clinic Foundation, Cleveland, Ohio, bDepartment of Neurosurgery, Feinberg School of Medicine of Northwestern University, Chicago, Ill., and cDepartment of Neurosurgery, Stanford University School of Medicine, Stanford, Calif., USA

Related Articles for ""

Stereotact Funct Neurosurg 2007;85:216–224

Do you have an account?

Login Information





Contact Information











I have read the Karger Terms and Conditions and agree.



Login Information





Contact Information











I have read the Karger Terms and Conditions and agree.



To view the fulltext, please log in

To view the pdf, please log in

Buy

  • FullText & PDF
  • Unlimited re-access via MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!

If you would like to redeem your KAB credit, please log in.


Save over 20% compared to the individual article price.
Learn more

Rent/Cloud

  • Rent for 48h to view
  • Buy Cloud Access for unlimited viewing via different devices
  • Synchronizing in the ReadCube Cloud
  • Printing and saving restrictions apply

Rental: USD 8.50
Cloud: USD 20.00


Select

Subscribe

  • Access to all articles of the subscribed year(s) guaranteed for 5 years
  • Unlimited re-access via Subscriber Login or MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

Subcription rates


Select

* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details

First-Page Preview
Abstract of Clinical Study

Received: July 12, 2006
Accepted: October 29, 2006
Published online: May 25, 2007
Issue release date: August 2007

Number of Print Pages: 9
Number of Figures: 3
Number of Tables: 4

ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)

For additional information: https://www.karger.com/SFN

Abstract

Aims: Trigeminal neuropathic pain is a broad diagnostic category that includes pain of several etiologies and excludes trigeminal neuralgia. The authors report a prospective series of percutaneous gasserian ganglion stimulation for trigeminal neuropathic pain. Methods: Patients who experienced >50% reduction in pain from a 7- to 10-day trial period underwent permanent implantation and were prospectively followed. Results: Eight of 10 trialed patients received a permanent implant. At the 12-month follow-up, 2 patients had been explanted and 1 was lost to follow-up. Three (all working at that the time) continued to experience >50% improvement in pain. Discussion: The results in this series were variable but 3 patients showed long-term improvements. Patients who continued to work responded better to treatment.

© 2007 S. Karger AG, Basel


References

  1. Burchiel KJ: A new classification for facial pain. Neurosurgery 2003;53:1164–1166; discussion 1666–1667.
  2. Meyerson BA, Håkansson S: Alleviation of atypical trigeminal pain by stimulation of the gasserian ganglion via an implanted electrode. Acta Neurochir Suppl (Wien) 1980;30:303–309.
  3. Kumar K, Toth C, Nath RK: Deep brain stimulation for intractable pain: a 15-year experience. Neurosurgery 1997;40:736–746; discussion 746–747.
  4. Meyerson BA, Lindblom U, Linderoth B, Lind G, Herregodts P: Motor cortex stimulation as treatment of trigeminal neuropathic pain. Acta Neurochir Suppl (Wien) 1993;58:150–153.
  5. Brown JA, Barbaro NM: Motor cortex stimulation for central and neuropathic pain: current status. Pain 2003;104:431–435.
  6. Brown JA, Pilitsis JG: Motor cortex stimulation for central and neuropathic facial pain: a prospective study of 10 patients and observations of enhanced sensory and motor function during stimulation. Neurosurgery 2005;56:290–297; discussion 290–297.
  7. Ebel H, Rust D, Tronnier V, Boker D, Kunze S: Chronic precentral stimulation in trigeminal neuropathic pain. Acta Neurochir (Wien) 1996;138:1300–1306.
  8. Rainov NG, Fels C, Heidecke V, Burkert W: Epidural electrical stimulation of the motor cortex in patients with facial neuralgia. Clin Neurol Neurosurg 1997;99:205–209.
  9. Nguyen JP, Keravel Y, Feve A, et al: Treatment of deafferentation pain by chronic stimulation of the motor cortex: report of a series of 20 cases. Acta Neurochir Suppl 1997;68:54–60.
  10. Nguyen JP, Lefaucher JP, Le Guerinel C, et al: Motor cortex stimulation in the treatment of central and neuropathic pain. Arch Med Res 2000;31:263–265.
  11. Quigley DG, Arnold J, Eldridge PR, et al: Long-term outcome of spinal cord stimulation and hardware complications. Stereotact Funct Neurosurg 2003;81:50–56.
  12. Oakley JC: Spinal cord stimulation: patient selection, technique and outcomes. Neurosurg Clin North Am 2003;14:365–380.
  13. North RB, Wetzel FT: Spinal cord stimulation for chronic pain of spinal origin: a valuable long-term solution. Spine 2002;27:2584–2591; discussion 2592.
  14. Barolat G: Spinal cord stimulation for chronic pain management. Arch Med Res 2000;31:258–262.
  15. Hassenbusch SJ, Stanton-Hicks M, Covington EC: Spinal cord stimulation versus spinal infusion for low back and leg pain. Acta Neurochir Suppl 1995;64:109–115.
  16. Shealy CN, Mortimer JT, Reswick JB: Electrical inhibition of pain by stimulation of the dorsal columns: preliminary clinical report. Anesth Analg 1967;46:489–491.
  17. Weiner RL: Occipital neurostimulation (ONS) for treatment of intractable headache disorders. Pain Med 2006;7(suppl 1):S137–S139.
    External Resources
  18. Shelden CH, Pudenz RH, Doyle J: Electrical control of facial pain. Am J Surg 1967;114:209–212.
  19. Shelden C: Depolarization in the treatment of trigeminal neuralgia; in Knighton R, Dumke P (eds): Pain. Boston, Little Brown, 1966, pp 373–386.
  20. Steude U: Percutaneous electrostimulation of the trigeminal nerve in patients with atypical trigeminal neuralgia. Neurochirurgia (Stuttg) 1978;21:66–69.
  21. Steude U: Chronic trigeminal nerve stimulation for the relief of persistent pain; in Gilbenberg PL, Tasker RR (eds): Textbook of Stereotactic and Functional Neurosurgery. New York, McGraw-Hill, 1996, pp 1557–1564.
  22. Taub E, Munz M, Tasker RR: Chronic electrical stimulation of the gasserian ganglion for the relief of pain in a series of 34 patients. J Neurosurg 1997;86:197–202.
  23. Lazorthes Y, Armengaud JP, Da Motta M: Chronic stimulation of the gasserian ganglion for treatment of atypical facial neuralgia. Pacing Clin Electrophysiol 1987;10:257–265.
  24. Meglio M: Percutaneous implantable chronic electrode for radiofrequency stimulation of the gasserian ganglion: a perspective in the management of trigeminal pain. Acta Neurochir Suppl (Wien) 1984;33:521–525.
  25. Waidhauser E, Steude U: Evaluation of patients with atypical trigeminal neuralgia for permanent electrode implant by test stimulation of the ganglion gasseri. Stereotact Funct Neurosurg 1994;62:304–308.
  26. Onofrio BM: Radiofrequency percutaneous gasserian ganglion lesions: results in 140 patients with trigeminal pain. J Neurosurg 1975;42:132–139.
  27. Johnson MD, Burchiel KJ: Peripheral stimulation for treatment of trigeminal postherpetic neuralgia and trigeminal posttraumatic neuropathic pain: a pilot study. Neurosurgery 2004;55:135–141; discussion 141–142.
  28. Nguyen JP, Lefaucheur JP, Decq P, et al: Chronic motor cortex stimulation in the treatment of central and neuropathic pain: correlations between clinical, electrophysiological and anatomical data. Pain 1999;82:245–251.
  29. Pirotte B, Voordecker P, Neugroschl C, et al: Combination of functional magnetic resonance imaging-guided neuronavigation and intraoperative cortical brain mapping improves targeting of motor cortex stimulation in neuropathic pain. Neurosurgery 2005;56(suppl 2):344–359; discussion 344–359.
    External Resources
  30. Velasco M, Velasco F, Brito F, et al: Motor cortex stimulation in the treatment of deafferentation pain. I. Localization of the motor cortex. Stereotact Funct Neurosurg 2002;79:146–167.
  31. Henderson JM, Boongird A, Rosenow JM, LaPresto E, Rezai AR: Recovery of pain control by intensive reprogramming after loss of benefit from motor cortex stimulation for neuropathic pain. Stereotact Funct Neurosurg 2004;82:207–213.
  32. Smith H, Joint C, Schlugman D, Nandi D, Stein JF, Aziz TZ: Motor cortex stimulation for neuropathic pain. Neurosurg Focus 2001;11:E2.
    External Resources
  33. Saitoh Y, Shibata M, Hirano S, Hirata M, Mashimo T, Yoshimine T: Motor cortex stimulation for central and peripheral deafferentation pain: report of eight cases. J Neurosurg 2000;92:150–155.
  34. Saitoh Y, Hirano S, Kato A, et al: Motor cortex stimulation for deafferentation pain. Neurosurg Focus 2001;11:E1.
    External Resources
  35. Katayama Y, Fukaya C, Yamamoto T: Poststroke pain control by chronic motor cortex stimulation: neurological characteristics predicting a favorable response. J Neurosurg 1998;89:585–591.
  36. Nuti C, Peyron R, Garcia-Larrea L, et al: Motor cortex stimulation for refractory neuropathic pain: four-year outcome and predictors of efficacy. Pain 2005;118:43–52.
  37. Bezard E, Boraud T, Nguyen JP, Velasco F, Keravel Y, Gross C: Cortical stimulation and epileptic seizure: a study of the potential risk in primates. Neurosurgery 1999;45:346–350.
  38. Meyerson BA, Håkansson S: Suppression of pain in trigeminal neuropathy by electric stimulation of the gasserian ganglion. Neurosurgery 1986;18:59–66.

Article / Publication Details

First-Page Preview
Abstract of Clinical Study

Received: July 12, 2006
Accepted: October 29, 2006
Published online: May 25, 2007
Issue release date: August 2007

Number of Print Pages: 9
Number of Figures: 3
Number of Tables: 4

ISSN: 1011-6125 (Print)
eISSN: 1423-0372 (Online)

For additional information: https://www.karger.com/SFN


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.