J Korean Pain Soc.  1989 May;2(1):45-48.

Alcohol Neurolyisis for the Treatment of Tregeminal Neuralgia

• Choe H

Abstract

Trigeminal neuralgia is one of the diaeases which cauae most chronic and intractable pain on the facial area. Several drugs includding analgegics, anticonvuleants, tranquilizers, vitamins or hormonal preparations have been expected to he effective but no drug could effectively relieve the patients from the pain. The pain could be relieved by surgical neurectomy or neurolysis of the Gasserian ganglion or the involved branches with absolute alcohol alternatively. Surgical microvascular decompression may be performed if the pain resulted from compression of the nerve by adjucent arterial loops. 4 cases of trigeminal neuralgia are presented. They were treated with alaohol neurolysis of the involved peripheral nerves combined with or without carbamazepine and/or amitriptyline with favorable result of pain relief.

Keyword

Trigeminal neuralgia; Alcohol neurolysis

MeSH Terms

Amitriptyline
Carbamazepine
Ethanol
Humans
Microvascular Decompression Surgery
Neuralgia*
Pain, Intractable
Peripheral Nerves
Trigeminal Ganglion
Trigeminal Neuralgia
Vitamins
Amitriptyline
Carbamazepine
Ethanol
Vitamins