Patients with demyelinating diseases (DDs) such as multiple sclerosis have a 20-fold higher risk of developing trigeminal neuralgia (TN). DD-related TN is more frequently refractory to the usual medical and surgical treatment. We report the case of a 57-year-old man presenting to our neurology outpatient clinic with a 12-year history of medical and surgical refractory TN associated with demyelinating lesions on magnetic resonance imaging. After a new failure of pharmacological treatment with oxcarbazepine, pregabalin, baclofen, and duloxetine, motor cortex stimulation (MCS) was performed, and the patient remained mostly pain-free, without any pharmacological treatment during the 3.5 years of follow-up. MCS may be a useful approach for DD-related refractory TN, and further studies can clarify its role in TN management.
- motor cortex stimulation
- trigeminal neuralgia
Mendonça, M. D., Seromenho-Santos, A., Caetano, A., & Reizinho, C. (2019). Motor cortex stimulation for refractory demyelinating disease-associated trigeminal neuralgia. Cephalalgia Reports, 2, . https://doi.org/10.1177/2515816319866149