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2012, Number 03

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MediSan 2012; 16 (03)

Blockade of Gasser ganglion against overacute crisis of the trigeminal nerve neuralgia

Fleitas SCR, Zamora CL, Cabezas NEP
Full text How to cite this article

Language: Spanish
References: 9
Page: 371-375
PDF size: 96.76 Kb.


Key words:

Gasser ganglion, trigeminal blockade, trigeminal neuralgia, neuropathic pain, intervention technique, Clinic for Pain.

ABSTRACT

A descriptive study of 24 patients with overacute crisis of the trigeminal nerve neuralgia assisted in the Clinic for Pain of "Saturnino Lora" Teaching Clinical-Surgical Provincial Hospital in Santiago de Cuba was carried out, from January, 2008 to the same month of 2011, in order to evaluate the therapeutic course by means of blockades to Gasser ganglion. A solution composed by 0,5 % bupivacaine and betametasone was administered. The scales of verbal evaluation, relief degree and secondary effects were used. It was found that the age group of 50-59 years, and the female sex turned out to be the most affected, that 58,3 % from the members of the series arrived to the third visit with total relief and that the prolonged anesthesia was the most common secondary effect (37,5 %), although at the end there was a satisfactory response to the treatment.


REFERENCES

  1. Grupo MBE Galicia. Neuralgia del trigémino. Guías clínicas. [Internet]. 2006 [citado 2 Ago 2009];6(17). Disponible en: http://www.lafar.net/simple99/spaw/uploads/files/Neuralgia%20trigemino.pdf

  2. Abarca J. Neuralgia del trigémino. Neurocir Contemp. 2007;1(4):1–6.

  3. López Tofiño A, Herrero B. Bloqueos del trigémino. En: Rizo Castro M. Manual de anestesia regional: práctica clínica y tratamiento del dolor. Madrid: Elsevier;2009: 97-111.

  4. Abejon D. Neuralgia del trigémino. Rev Soc Esp Dolor. 2007;14(8):547-9.

  5. Robaina F. Neuralgia del trigémino. Revisión del tratamiento médico y quirúrgico. Rev Soc Esp Dolor. 2008;4:248–56.

  6. Delgado Carlo MM, Tamayo Valenzuela AC, López Martínez JA, Cardona Cordero AV, Granja Posadas E, Guevara López U. Tratamiento algológico de neuralgia del trigémino. Experiencia de 15 años. Cir Ciruj. 2006;74:83–8.

  7. Zakrzewska JM. Surgery for trigeminal neuralgia? Pain. 2011;152(3):469-70.

  8. Faulí A, De Andrés J. Bloqueo del nervio trigémino: ganglio de Gasser y ramas periféricas. En: De Andrés J. Manual de bolsillo de anestesia regional. Barcelona: Caduceo Multimedia;2005:48–55.

  9. Morgan GE, Mikhail MS, Murray MJ. Anestesiología clínica. 4 ed. Madrid: El Manual Moderno;2007:349–96.




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C?MO CITAR (Vancouver)

MediSan. 2012;16