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Semin intervent Radiol 1999; 16(2): 151-155
DOI: 10.1055/s-0028-1082201
Copyright © 1999 by Thieme Medical Publishers, Inc.

Management of Pain with Minimally Invasive Therapy of Facial Pain Syndromes

Juergen Plassmann, Cornelia Sehnert, Klaus Urbschat, Andreas Melzer, Heiko Pump, Rainer MM. Seibel
  • Institute of Diagnostic and Interventional Radiology, University of Witten Herdecke, Mülheim, Germany
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Publication Date:
12 September 2008 (online)

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Abstract

Computed tomography (CT)-guided pain therapy was performed in 21 patients with atypical facial pain (n=12) or trigeminal neuralgia (n=9). Local injection of corticosteroids in the foramen ovale and the ganglion cervicale medium was performed as well as therapy of peripheral nerve branches if a peripheral lesion was diagnosed. The success rate was 71%, with an average follow-up of 16 and 20 months for both groups after therapy. Image-guided therapy of facial pain syndromes in recurrence is helpful for trigeminal neuralgia and atypical facial pain. In comparison to conventional percutaneous methods, it yields better results for atypical facial pain.

Keywords:

CT guidance - atypical facial pain - surgical tomography - trigeminal neuralgia

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