Gasserian ganglion thermal radiofrequency and alcohol ablation  therapy in patients with an idiopathic trigeminal neuralgia   Of 20 years duration 

  • Abdul Sahib Hussein Al-Timimi Dept. of Anaesthesia & Intensive Care Unit/ Pain Clinic in Sheikh Zayed Hospital
  • Zinah Majid Mnati Dept. of Anaesthesia & Intensive Care Unit, Al-Yarmouk Teaching Hospital.


Trigeminal Neuralgia (TN) is a neuropathic, stabbing recurrent episode of  pain within the distribution of one or more branches of the trigeminalnerve  affecting the face.Trigeminal neuralgia is idiopathicin 50%of the patients  leading to focal demyelination andaberrantneuraldischarge.   Treatment must be individualized to each patient. Carbamazepine remains  the drug of choice and the first‐line treatment of TN but ineffective in 60%.  Minimally invasive interventional pain therapies and surgery are possible  options when drug therapy fails. Patients with poor surgical risk may be more  suitable for other types of interventional therapy.  A case of idiopathic trigeminal neuralgia in a 49 years old female, presented  with a 20 years history of severe lancinating intermittent pain, not relived by  oral medications. In our case we will discuss the role of radiofrequency  therapy in combination with alcohol ablation for this chronic pain and follow  up for 1 year duration.  

How to Cite
AL-TIMIMI, Abdul Sahib Hussein; MNATI, Zinah Majid. Gasserian ganglion thermal radiofrequency and alcohol ablation  therapy in patients with an idiopathic trigeminal neuralgia   Of 20 years duration . Mustansiriya Medical Journal, [S.l.], v. 13, n. 2, p. 4, june 2018. ISSN 2227-4081. Available at: <>. Date accessed: 10 apr. 2020.