About this trial
A prospective exploratory study aiming at comparing pulsed bipolar versus pulsed unipolar radiofrequency ablation in patients with medically refractory trigeminal neuralgia.
Eligibility criteria
Qualifiers
Patients with a definitive diagnosis of classical TN based on the third version of the International Classification of Headache Disorders (ICHD-3).
Either purely paroxysmal classical TN or classical TN with concomitant chronic pain.
Patients with idiopathic TN, with symptomatic clinical topography of V2 and/or V3.
Patients with brain magnetic resonance imaging (MRI) unremarkable for structural etiology for the trigeminal pain.
Disqualifiers
Painful trigeminal neuropathy based on the third version of the International Classification of Headache Disorders (ICHD-3).
Trigeminal neuralgia with V1 symptomatic clinical topography.
Trigeminal neuralgia comorbid with other atypical facial pain disorders.
Structural TN e.g., due to vascular compression, posterior fossa tumors, central demyelination, …etc.
Trial design
Treatments tested in this trial
- Bipolar pulsed radiofrequency
- Mopolar pulsed radiofrequency