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Comparison between Pulsed Radio-Frequency Plus Steroid Injection and Thermal Radio-Frequency in Treatment of Trigeminal Neuralgia

Hevy Sherko Fathulla; Mortada Abdulhussien Jubara; Bnar Halko Ahmad Shawqi; Ghassan Faris Idan

Comparison between Pulsed Radio-Frequency Plus Steroid Injection and Thermal Radio-Frequency in Treatment of Trigeminal Neuralgia
Hevy Sherko Fathulla1, Mortada Abdulhussien Jubara2, Bnar Halko Ahmad Shawqi3Ghassan Faris Idan4
1. MBChB, FICMS, Senior specialist in anesthesia & interventional pain management Rizgary hospital , Erbil, KRI, Iraq
2. MBChB, FICMS, Chairman of Iraqi Council of Regional Anesthesia and Interventional Pain Management, Medical City Complex Nursing Home Hospital ,Baghdad Iraq
3. MBChB, FICMS, FIPP, Senior Specialist in Anesthesia & Interventional Pain Management Head of Pain Management Unit, Rizgary Hospital , Erbil, KRI, IRAQ
4. MBChB, CABA and IC. Arab Council of Interventional Pain Management Baghdad Medical City Complex. Nursing home Hospital, Baghdad Iraq

*Corresponding Author , contact email : drhevysherko@gmail.com 

DOI: 10.5281/zenodo.6886620

Abstract
Background
: Trigeminal neuralgia (TN) is a common chronic neuropathic pain that seriously affects the daily life of the patient. Many invasive treatment are currently available. One of the treatment options is radiofrequency for immediate and long term pain relief .
Objectives: To evaluate outcome of comparison between pulse radiofrequency with steroid injection and thermal radiofrequency alone in treating patients complain of trigeminal neuralgia for getting better result (pain free )for longer duration and less recurrence.
Patients and Methods: A prospective study included 40 adult patients, assigned into two groups ; to managed either with pulse radiofrequency with lidocaine and steroid injection, or thermal radiofrequency alone, and followed up for at least 1 year post- intervention , during which,  time and pain relief  were recorded with checking complications and recurrence time with dose of carbamazepine.
Result : In group 1, all patients got Immediate pain relive while in group 2 only 50% while the remaining 50% in this group got pain relive within 1 month. Recurrence in group 1 occurred after 2 years while in group 2 it occurred in less or around  1 year but they needed lower dose of tegretol. Fortunately, no mortalities reported in both groups.
Conclusions: patients gets better result in treatment resistance cases of trigeminal neuralgia when use pulse radiofrequency with lidocaine and steroid inaction related to time of immediate decrease of pain ,longer duration pain free and longer recurrence time.

How to cite this article: Fathulla H.S., Jubara M. A., Shawqi B.H.A., Idan G.F., Comparison between Pulsed Radio-Frequency Plus Steroid Injection and Thermal Radio-Frequency in Treatment of Trigeminal Neuralgia, JMSP 2022, 8(3): 95-107 DOI: 10.5281/zenodo.6886620
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