{Reference Type}: Journal Article
{Title}: Radiofrequency thermocoagulation under neuromonitoring guidance and general anesthesia for treatment of refractory trigeminal neuralgia.
{Author}: Abboud T;Malinova V;Rohde V;Mielke D;
{Journal}: Acta Neurochir (Wien)
{Volume}: 166
{Issue}: 1
{Year}: 2024 Feb 2
{Factor}: 2.816
{DOI}: 10.1007/s00701-024-05964-9
{Abstract}: <B>OBJECTIVE: </B>Radiofrequency thermocoagulation (RFT) for refractory trigeminal neuralgia is usually performed in awake patients to localize the involved trigeminal branches. It is often a painful experience. Here, we present RFT under neuromonitoring guidance and general anesthesia.<BR><B>METHODS: </B>Stimulation of trigeminal branches at the foramen ovale with the tip of the RFT cannula is performed under short general anesthesia. Antidromic sensory-evoked potentials (aSEP) are recorded from the 3 trigeminal branches. The cannula is repositioned until the desired branch can be stimulated and lesioned.<BR><B>CONCLUSIONS: </B>aSEP enable accurate localization of involved trigeminal branches during RFT and allow performing the procedure under general anesthesia.