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Gasserian ganglion radiofrequency thermoablation in a patient with aneurysm of the anterior communicating artery

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Affiliated Authors
홍지희
Alternative Author(s)
Hong, Ji Hee
Journal Title
Anesth Pain Med
ISSN
2383-7977
Issued Date
2021
Keyword
Gasserian ganglion thermoablationNicardipineSaccular aneurysmTrigeminal neuralgiaVital sign monitoring
Abstract
Background:
Gasserian ganglion radiofrequency thermoablation is a good treatment option for the management of pain in trigeminal neuralgia. We report a case in which the patient of trigeminal neuralgia combined with anterior cerebral artery aneurysm was treated successfully by gasserian ganglion thermoablation without any complication.

Case:
An 85-year-old female presenting with electric shock like sensation in the gum and molar teeth was diagnosed as trigeminal neuralgia. Carbamazepine medication and trigeminal nerve blockade relieved her pain partially, but severe side effects of carbamazepine occurred. Magnetic resonance angiography of the brain showed saccular aneurysm in inferior aspect of the anterior communicating artery. Gasserian ganglion thermoablation under sedation anesthesia using nicardipine was performed carefully without any rupture of the cerebral aneurysm.

Conclusions:
Gasserian ganglion thermoablation could be performed safely in a patient with cerebral aneurysm without any inadvertent event.
Department
Dept. of Anesthesiology & Pain Medicine (마취통증의학)
Publisher
School of Medicine (의과대학)
Citation
Yong Ho Lee. (2021). Gasserian ganglion radiofrequency thermoablation in a patient with aneurysm of the anterior communicating artery. Anesth Pain Med, 16(4), 382-386. doi: 10.17085/apm.21019
Type
Article
DOI
10.17085/apm.21019
URI
http://kumel.medlib.dsmc.or.kr/handle/2015.oak/43845
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Anesthesiology & Pain Medicine (마취통증의학)
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