Gasserian Ganglion Block

Purpose. To report a case of persistent corneal epithelial defect that had occurred after a trigeminal nerve block. Case Presentation. A 75-year-old female had suffered from postherpetic neuralgia for 8 years. She underwent Gasserian ganglion block surgery and noticed declining visual acuity in the right eye on the following day. She presented with severe hyperemia and corneal epithelial defects in the right eye and experienced remarkable reduction of sensitivity in the right cornea. She was diagnosed with neurotrophic keratopathy. Ofloxacin eye ointment and rebamipide ophthalmic suspension ameliorated the corneal epithelial defects but superficial punctate keratopathy, corneal superficial neovascularization, and Descemet’s fold persisted. Although the epithelial defects occasionally recurred, the corneal sensation and epithelial defects, Descemet’s fold, and corneal superficial neovascularization all improved around 5 months after trigeminal nerve block. The HRT II Rostock Cornea Module (RCM) could not detect any corneal subbasal nerve fibers at postoperative 4 months; however, it could detect them at postoperative 6 months. Conclusions. As the nerve block effect wore off, the corneal subbasal nerve fibers slowly regenerated. As the corneal sensation improved, the corneal epithelial defects and superficial neovascularization also improved. The HRT II RCM appeared useful for observing loss and regeneration of the corneal subbasal nerve fibers.

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Multiplanar reformat and volume rendering of a multidetector CT scan for path planning a fluoroscopic procedure on Gasserian ganglion block—a preliminary report

European Journal of Radiology ◽

10.1016/j.ejrad.2004.04.009 ◽

2005 ◽

Vol 53 (2) ◽

pp. 189-191 ◽

Cited By ~ 15

Author(s):

Jun Horiguchi ◽

Minoru Ishifuro ◽

Hiroshi Fukuda ◽

Yuji Akiyama ◽

Katsuhide Ito

Keyword(s):

Path Planning ◽

Ct Scan ◽

Volume Rendering ◽

Preliminary Report ◽

Multidetector Ct ◽

Gasserian Ganglion ◽

Ganglion Block ◽

Multiplanar Reformat

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Gasserian Ganglion Block With or Without Low-intensity Laser Therapy in Trigeminal Neuralgia

Neurosurgery Quarterly ◽

10.1097/wnq.0b013e3182571c93 ◽

2012 ◽

Vol 22 (4) ◽

pp. 228-232 ◽

Cited By ~ 2

Author(s):

Dawood Aghamohammadi ◽

Reza Amirnaseri ◽

Ali Peirovifar ◽

Hamzeh Hossainzadeh ◽

Mahmood Eidi ◽

...

Keyword(s):

Trigeminal Neuralgia ◽

Laser Therapy ◽

Gasserian Ganglion ◽

Ganglion Block ◽

Low Intensity ◽

Low Intensity Laser Therapy ◽

Intensity Laser

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Pain Management Techniques

10.1093/med/9780190217518.003.0011 ◽

2017 ◽

Author(s):

Maureen F. McClenahan ◽

William Beckman

Keyword(s):

Pain Management ◽

Nerve Block ◽

Stellate Ganglion ◽

Stellate Ganglion Block ◽

Gasserian Ganglion ◽

Medial Branch ◽

Celiac Plexus Block ◽

Ganglion Block ◽

Management Procedures ◽

Plexus Block

This chapter provides a broad review of various interventional pain management procedures with a focus on indications, anatomy, and complications. Specific techniques reviewed include transforaminal epidural steroid injection, lumbar sympathetic block, stellate ganglion block, cervical and lumbar radiofrequency ablation, gasserian ganglion block, sacroiliac joint injection, celiac plexus block, lateral femoral cutaneous nerve block, ilioinguinal block, lumbar medial branch block, obturator nerve block, ankle block, occipital nerve block, superior hypogastric plexus block, spinal cord stimulation, and intrathecal drug delivery systems. The chapter reviews contrast agents, neurolytic agents, botulinum toxin use, corticosteroids, and ziconotide pharmacology and side effects in addition to diagnosis and management of local anesthetic toxicity syndrome. It also discusses indications for neurosurgical techniques including dorsal root entry zone lesioning. In addition, information on radiation safety and the use of anticoagulants with neuraxial blocks is covered.

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