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Gasserian Ganglion Neurolysis under Propofol Anaesthesia: A Case Report


Affiliations
1 Yenepoya Medical College, Mangaluru, India

Trigeminal neuralgia (TN) is a clinical syndrome characterized by brief paroxysms of unilateral lancinating facial pain triggered by cutaneous stimuli.

Gasserian ganglion neurolysis is one of the percutaneous treatments for trigeminal neuralgia.The technique includes injecting anhydrous glycerol in to the Meckel's cave under fluoroscopic guidance and asking the patient to sit immediately to prevent the neurolytic agent spreading to the posterior fossa and hence done with patient being awake.we report a case of gasserian ganglion neurolysis with glycerol where we had to administer general-anesthesia with short acting drug propofol in the middle of the procedure. Later we realised that it had many advantages like more patient comfort,co-operation and it combatted the emesis that could be caused by glycerol with its anti-emetic properties.

Keywords

Trigeminal Neuralgia, Gasserian Ganglion Neurolysis, Propofol.
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  • MarkObermann,Treatment options in trigeminal neuralgia,TherAdvNeurolDisord. 2010 Mar; 3(2): 107–115.
  • Hakanson S. Trigeminal neuralgia treated by the injection into the trigeminal cistern. Neurosurgery. 1981;9:638e646

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  • Gasserian Ganglion Neurolysis under Propofol Anaesthesia: A Case Report

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Authors

R. M. Ramyashree
Yenepoya Medical College, Mangaluru, India
Rammurthy Kulkarni
Yenepoya Medical College, Mangaluru, India

Abstract


Trigeminal neuralgia (TN) is a clinical syndrome characterized by brief paroxysms of unilateral lancinating facial pain triggered by cutaneous stimuli.

Gasserian ganglion neurolysis is one of the percutaneous treatments for trigeminal neuralgia.The technique includes injecting anhydrous glycerol in to the Meckel's cave under fluoroscopic guidance and asking the patient to sit immediately to prevent the neurolytic agent spreading to the posterior fossa and hence done with patient being awake.we report a case of gasserian ganglion neurolysis with glycerol where we had to administer general-anesthesia with short acting drug propofol in the middle of the procedure. Later we realised that it had many advantages like more patient comfort,co-operation and it combatted the emesis that could be caused by glycerol with its anti-emetic properties.

Keywords


Trigeminal Neuralgia, Gasserian Ganglion Neurolysis, Propofol.

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DOI: https://doi.org/10.18311/isacon-Karnataka%2F2017%2FEP107