TITLE:
Continuous Inferior Alveolar Nerve Block Using an Indwelling Catheter and Inferior Maxillary Artery Embolization for the Management of Atypical Trigeminal Neuralgia
AUTHORS:
Samer Abdel-Aziz, Ahmed Ghaleb
KEYWORDS:
Trigeminal Neuralgia; Inferior Alveolar Nerve Block; Inferior Maxilary Artery Embolization
JOURNAL NAME:
Open Journal of Anesthesiology,
Vol.3 No.9,
November
18,
2013
ABSTRACT: 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.