Abstract
Anesthesia dolorosa (AD) is a chronic pain syndrome due to trigeminal nerve injury. AD may be caused by intentional or unintentional injury. Opioids and neuromodulatory medications may have little effect on AD symptoms. Both neuromodulatory (stimulation) and ablative surgical methods have been used to treat AD with some success, but results have been inconsistent This case of a 38-year-old woman illustrates the complexity of and variable outcomes from treatment for anesthesia dolorosa.
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References
Gorecki JP, Nashold BS. The Duke experience with the nucleus caudalis DREZ operation. Acta Neurochir Suppl. 1995;64:128–31.
Lazorthes Y, Sol JC, Fowo S, Roux FE, Verdie JC. Motor cortex stimulation for neuropathic pain. Acta Neurochir Suppl. 2007;97(Pt 2):37–44.
Sandwell SE, El-Naggar AO. Nucleus caudalis dorsal root entry zone lesioning for the treatment of anesthesia dolorosa. J Neurosurg. 2013;118(3):534–8.
Sims-Williams HP, Javed S, Pickering AE, Patel NK. Characterising the analgesic effect of different targets for deep brain stimulation in trigeminal anaesthesia dolorosa. Stereotact Funct Neurosurg. 2016;94(3):174–81.
Hollingworth M, Sims-Williams HP, Pickering AE, Barua N, Patel NK. Single electrode deep brain stimulation with dual targeting at dual frequency for the treatment of chronic pain: a case series and review of the literature. Brain Sci. 2017;7(1):9.
Fontaine D, Hamani C, Lozano A. Efficacy and safety of motor cortex stimulation for chronic neuropathic pain: critical review of the literature. J Neurosurg. 2009;110(2):251–6.
Henderson JM, Boongird A, Rosenow JM, LaPresto E, Rezai AR. Recovery of pain control by intensive reprogramming after loss of benefit from motor cortex stimulation for neuropathic pain. Stereotact Funct Neurosurg. 2004;82(5–6):207–13.
Henderson JM, Heit G, Fisher RS. Recurrent seizures related to motor cortex stimulator programming. Neuromodulation. 2010;13(1):37–43.
Jeanmonod D, Magnin M, Morel A. Chronic neurogenic pain and the medial thalamotomy. Schweiz Rundsch Med Prax. 1994;83(23):702–7.
Jeanmonod D, Werner B, Morel A, Michels L, Zadicario E, Schiff G, et al. Transcranial magnetic resonance imaging-guided focused ultrasound: noninvasive central lateral thalamotomy for chronic neuropathic pain. Neurosurg Focus. 2012;32(1):E1.
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Rosenow, J.M. (2018). Anesthesia Dolorosa. In: Suen, J., Petersen, E. (eds) Diagnosis and Management of Head and Face Pain. Springer, Cham. https://doi.org/10.1007/978-3-319-90999-8_35
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DOI: https://doi.org/10.1007/978-3-319-90999-8_35
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