• Pain · Jan 1999

    Case Reports

    The long lasting effects of peripheral nerve blocks for trigeminal neuralgia using high concentration of tetracaine dissolved in bupivacaine.

    • F Goto, K Ishizaki, D Yoshikawa, H Obata, H Arii, and M Terada.
    • Department of Anesthesiology and Reanimatology, Gunma University School of Medicine, Maebashi-shi, Japan. gfgoto@akagi.sb.gunma-u.ac.jp
    • Pain. 1999 Jan 1; 79 (1): 101-3.

    AbstractThe management of trigeminal neuralgia in older patients who do not want neurolytic block and/or surgical treatment may be problematic. This paper describes three patients who had first and/or second division trigeminal neuralgia. The analgesic effects of infraorbital nerve block using 0.5% bupivacaine or 1% mepivacaine dissipated within a few days, however, the effects of nerve blocks using 4% tetracaine dissolved in 0.5% bupivacaine continued for more than 3 months. Hypesthesia was observed in two patients within a week following the block, but sensory level returned to normal within 2 weeks and there were no further complications in any patient.

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