title: Effective Management of Trigeminal Neuralgia by Neurostimulation.
abstract: BACKGROUND
  Treatment of trigeminal neuralgia can be challenging for many physicians; patients who do not respond to conventional treatments and traditional surgical approaches often continue to suffer with pain. The peripheral nerve stimulator (PNS) has been used to treat many chronic pain conditions, but few reports exist about its use to treat trigeminal neuralgia.
  
  
  METHODS
  We present the case of a patient with trigeminal neuralgia resistant to conventional techniques of pain management. Conservative pain management was attempted but was ineffective. As a result, a PNS was placed with minimally invasive surgery. Pain scores were recorded before and after the procedure, and the patient reported complete resolution of her pain.
  
  
  CONCLUSIONS
  PNS implantation can be a safe and effective method to treat trigeminal neuralgia. More research is needed to define its mechanism of action.
authors.affiliation: Department of Anesthesiology, University of Wisconsin School of Medicine and Public Health, Madison, WI.
authors.forename: Alaa A
authors.initials: AA
authors.lastname: Abd-Elsayed
authors.affiliation: Department of Anesthesiology, University of Cincinnati, Cincinnati, OH.
authors.forename: Ravi
authors.initials: R
authors.lastname: Grandhi
authors.affiliation: Department of Anesthesiology, University of Cincinnati, Cincinnati, OH.
authors.forename: Harsh
authors.initials: H
authors.lastname: Sachdeva
keywords: Chronic pain; electric stimulation therapy; peripheral nerves; trigeminal neuralgia