Which chronic trigeminal pain patients have you found responded best to peripheral nerve stimulation implants?
E.g., threshold of improvement from trial implant? Underlying neurologic diagnosis of trigeminal neuralgia vs. trigeminal neuropathy vs migraine?
2 Answers
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Neurosurgery · Oregon Health & Science University
Answered on
Trigeminal neuropathic pain (TNP), i.e., traumatic or unintentional surgical injury to the trigeminal system, is the main indication for neurostimulation. This should be a peripheral procedure targeted at the relevant nerve distribution, e.g., supraorbital or infraorbital. Use a multicontact electro...
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Neurosurgery · University of Illinois Chicago
Answered on
The peripheral nerve stimulation works best for patients with trigeminal neuropathic pain; post-traumatic and post-surgical patients tend to have the most reliable and predictable improvement in pain. Results are less impressive for patients with post-herpetic neuralgia in the trigeminal nerve distr...
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