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About The Treatment

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Percutaneous Stereotactic Treatment - PSR

Percutaneous stereotactic radiofrequency rhizotomy (PSR) is an minimally invasive methodology performed to relieve pain caused by trigeminal neuralgia, glossopharyngeal neuralgia, and cluster headache. Drugs frequently given in the beginning help with pain, yet may end up ineffective or cause serious side-effects. PSR uses a warming current to obliterate a portion of the nerve strands which convey pain signals to the brain. The patient might feel some numbness in the zone instead of pain.

Who is a Candidate for PSR?

PSR can give relief from discomfort to numerous patients with trigeminal neuralgia, glossopharyngeal neuralgia, or other neurological diseases (e.g., cluster headache) when medicines end up ineffective. PSR is effective in treating patients of any age including those with multiple sclerosis and tumours. Patients frequently experience PSR because it lowers the risks and complications of surgical methods, for example, microvascular decompression (MVD). Although facial numbness occurs, PSR is one of the best procedures since it gives lasting relief from persistent discomfort and few risks of other procedures.

How is PSR Performed?

A few points are marked with a pen on the patient's cheek, which is then washed with a disinfectant. Sterile curtains cover the patient's neck and chest. The doctor will give a dose of atropine to help dry the mouth. An attendant helps the specialist amid PSR in checking the patient's circulatory system and pulse and conveying medicines through an IV in the arm of the patient.

As short-acting anaesthesia is given, the patient will feel a slight burning sensation before dozing off. For trigeminal neuralgia, the specialist controls the anode introducer through the patient's cheek into an opening at the base of the skull, called the foramen ovale, where the mandibular division (V3) of the trigeminal nerve leaves the skull. X-ray confirms the correct position of the introducer.

Amid this progression, the patient is stirred to enable the specialist to recognise in which trigeminal division the pain happens. A low current of power, fortifying the nerve, duplicates the area of the pain. Then the specialist embeds the terminal so that shivering occurs where the pain attacks are located.

The patient will get a gentle sedative again to obstruct any pain or uneasiness. Meanwhile, the specialist passes a warming current through the cathode. This current pulverises the bit of the nerve that transmits pain and upsets the pain delivering a signal.

The patient is stirred to enable the specialist to decide whether the warming current has stopped the pain. Zones of the patient's face are tried for affectability by needle prick. Given the measure of pain or numbness, the specialist decides the amount of the nerve ought to be dealt with.

What Happens After the Procedure?

If pain repeats, contact the specialist. Astounding outcomes can be accomplished by percutaneous techniques, particularly PSR, with less danger of operative complications. Healthy patients with pain repeating after an earlier percutaneous method are best treated by microvascular decompression (MVD). A repeat percutaneous technique or radiosurgery is considered for patients who are therapeutically unhealthy. Patients who have intermittent trigeminal neuralgia in an effectively numb zone advantage from repeat percutaneous medical procedure, however, pain might be calmed by microvascular decompression or complete section of the sensory and motor root (neurectomy).

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Hospitals

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