Korean J Pain.  2025 Apr;38(2):209-212. 10.3344/kjp.24415.

CT-guided extracranial radiofrequency of multiple groups of cranial nerves for the treatment of compound Meige's syndrome

• Peng H
• Wang C
• Xin B
• Huang B

• KMID: 2566653
• DOI: http://doi.org/10.3344/kjp.24415

Figure

• 

  Fig. 1 Radiofrequency ablation of mandibular branch of trigeminal nerve by bilateral foramen ovale puncture under CT guidance to treat masticatory muscle spasm. (A) The successful image of bilateral foramen ovale puncture. (B) CT three-dimensional reconstruction image after successful puncture of the bilateral foramen ovale, with bilateral RF needle points located in the foramen ovale.

• 

  Fig. 2 (A) CT-guided radiofrequency ablation of facial nerve by right stylomastoid foramen puncture to treat eyelid spasms, lip muscle spasms, or platysma twitches. (B) CT-guided radiofrequency ablation procedure of the accessory nerve by the posterior edge of the styloid process at the level of the upper edge of the right atlas transverse process to treat involuntary head-turning movements. (C) CT three-dimensional reconstruction image after successful puncture of the right facial and accessory nerves with right RF needle points located in the stylomastoid foramen and the posterior edge of the styloid process. (D) CT three-dimensional reconstruction image after successful puncture of the left facial and accessory nerves with left RF needle points located in the stylomastoid foramen and the posterior edge of the styloid process.

Reference

1. Pandey S, Sharma S. 2017; Meige's syndrome: history, epidemiology, clinical features, pathogenesis and treatment. J Neurol Sci. 372:162–70. DOI: 10.1016/j.jns.2016.11.053. PMID: 28017205.

2. Lin H, Cao G, Jin G, Yang Z, Huang C, Shao J, et al. 2021; Extracranial non-Gasserian ganglion application of radiofrequency thermocoagulation on the mandibular branch of the trigeminal through the foramen ovale for trigeminal neuralgia. Pain Physician. 24:E425–32.

3. Huang B, Yao M, Zhan GH, Feng ZY, Fan BF. 2020; [Technological specification of extracranial non-gasserian ganglion radiofrequency ablation for treatment of trigeminal neuralgia by CT-guidance]. Zhonghua Yi Xue Za Zhi. 100:1929–32. Chinese.

4. Huang B, Yao M, Chen Q, Lin H, Du X, Huang H, et al. 2021; Awake CT-guided percutaneous stylomastoid foramen puncture and radiofrequency ablation of facial nerve for treatment of hemifacial spasm. J Neurosurg. 135:1459–65. DOI: 10.3171/2020.10.JNS203209. PMID: 33862595.

5. Huang B, Du X, Chen Q, Lin H, Yao M, Huang H, et al. 2020; Operative skills and therapeutic effects of radiofrequency in the treatment of patients with primary hemifacial spasm by stylomastoid foramen puncture under CT guidance. Chin J Painol. 16:386–93.

6. Huang B. 2022; Chinese expert consensus on the technical standards for CT-guided stylomastoid foramen facial nerve radiofrequency treatment of hemifacial spasm. Chin Med J. 102:1267–71.

7. Huang B, Wang C, Du X, Lin H, Zhou C, Yao M. 2020; Chinese people should have our own grading scales for facial paralysis and facial spasm. Chin J Painol. 18:174–6.

8. Huang B, Yan M, Lin H. 2022; Expert consensus on the application of facial nerve block technique in the facial nerve dysfunction diseases in China (2022 edition). Chin J Painol. 18:152–9.

9. Huang H, Huang B, Du X, Lin H, Li X, Zhao X, et al. 2024; CT-guided radiofrequency ablation of facial and mandibular nerves in the treatment of compound Meige's syndrome. Neuroradiology. 66:1761–4. DOI: 10.1007/s00234-024-03392-1. PMID: 38844696. PMCID: PMC11424667.

10. Huang B, Du XD, Fei Y, Lin HD, Deng H, Yao M. 2023; [Pay attention to the clinical application of radiofrequency ablation in the treatment of neuropathic pain]. Zhonghua Yi Xue Za Zhi. 103:465–8. Chinese.