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Continuous Inferior Alveolar Nerve Block Using an Indwelling Catheter and Inferior Maxillary Artery Embolization for the Management of Atypical Trigeminal Neuralgia

Continuous Inferior Alveolar Nerve Block Using an Indwelling Catheter and Inferior Maxillary Artery Embolization for the Management of Atypical Trigeminal Neuralgia

作     者:Samer Abdel-Aziz Ahmed Ghaleb 

作者机构:Department of Anesthesiology and Pain Medicine University of Arkansas for Medical Sciences Little Rock USA 

出 版 物:《Open Journal of Anesthesiology》 (麻醉学期刊(英文))

年 卷 期:2013年第3卷第9期

页      面:375-378页

学科分类:1002[医学-临床医学] 100214[医学-肿瘤学] 10[医学] 

主  题:Trigeminal Neuralgia Inferior Alveolar Nerve Block Inferior Maxilary Artery Embolization 

摘      要:A 40-years-old female patient with severe right facial pain with a throbbing component along the mandibular division of the trigeminal nerve resistant to medical management. Continuous inferior alveolar nerve block with local anesthetics using an indwelling catheter provided a complete pain resolution for the patient for 2 weeks, after which the catheter got infected and was removed. A trial of balloon occlusion of the right internal maxillary artery provided complete resolution of the throbbing component of the patient’s pain. This was followed by permanent embolization with multiple coils.

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