Trigeminal neuralgia surgical treatment using LASER

Abstract

Trigeminal neuralgia is an extremely painful and difficult condition to treat. Adding LASER is an edge cutting techonology which might help stop drugs and thereby the adverse effects. To describe the experience of using LASER in a patient with trigeminal neuralgia For NEUTECTOMY. A 47-year-old man presented with constant, severe pain in the right side of his face over the nasolabial groove for more than 11 months. The pain had been progressively worse and was usually precipitated by brushing his teeth, shaving, washing his face, eating, and talking. The patient's neurologist treated him with 150 mg/d of carbamazepine; when the pain improved, the dosage was reduced. However, the pain worsened in two months and he was prescribed 1500 mg of oxcarbazepine three times daily. It did not relieve the pain, which had become constant with the severity higher than 10 on a scale of 1-10. The patient was treated with LASER. Relief of neuralgia. The patient's pain level during the 1st day of treatment dropped from 10/10 to 0. On his 2nd visit. The patient continued to improve and could eat and speak without pain. This case report describes a patient who responded well by the use of LASER.