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CASE REPORT
Year : 2017  |  Volume : 3  |  Issue : 2  |  Page : 108-110

Management of an atypical case of recurrent trigeminal neuralgia, switching from V2 to V3 division: A case of resistant trigeminal neuralgia


1 Lecturer, Department of Anesthesia and Intensive Therapy, Medical School University of North Sumatera, Indonesia
2 Fellow, Daradia: The Pain Clinic, Kolkata, West Bengal, India
3 Director, Daradia: The Pain Clinic, Kolkata, West Bengal, India
4 Consultant, Department of Anesthesia, Fortis Hospital, New Delhi, India

Correspondence Address:
Tasrif Hamdi
Lecturer, Department of Anesthesia and Intensive Therapy, Medical School University of North Sumatera
Indonesia
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Source of Support: None, Conflict of Interest: None


DOI: 10.5005/jp-journals-10046-0080

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Trigeminal neuralgia (TN) is a neuropathic pain syndrome characterized by severe unilateral paroxysmal facial pain. Pain attacks are usually stimulated by tactile irritation within the region of the trigeminal nerve.Trigeminal neuralgia pain typically remits and relapses, even when patients are on conventionally used treatments, resulting in a major source of disability and poor quality of life. Multiple forms of treatment are available for its management, but it is often resistant to conventional treatments. Radiofrequency (RF) ablation is one of the best treatment modalities to relieve pain in TN but even after successful RF ablation of Gasserian ganglion, there may be relapses. Rarely, patient may present with pain in other distributions of trigeminal nerve. We report a case of a 55-year-old female having relapsing form of TN, switching from V2 to V3 division of trigeminal nerve distribution.


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