Mastication Muscle Suppression by the Mandibular Branch of Trigeminal Nerve Catheter-Based, Ultrasound-Guided Block: A Case Report
| Author | Fardin Yousefshahi | en |
| Author | Juan Francisco Asenjo | en |
| Author | Hossein Majedi | en |
| Orcid | Fardin Yousefshahi [0000-0002-3297-5537] | en |
| Orcid | Hossein Majedi [0000-0001-8477-6348] | en |
| Issued Date | 2020-07-14 | en |
| Abstract | Introduction: Ultrasound-guided nerve blocks have enhanced our abilities to selectively and effectively suppress certain nerves to accomplish specific goals, including blockade a localized seizure muscle movement without affecting the seizure threshold or level of the consciousness. Case Presentation: This is a case report of the blockade of the movement of a chewing muscle by the continuous (catheter-based) mandibular nerve block in a 27 years old man with high-frequency partial seizures in facial muscles who was a candidate for seizure focus ablation. An out-of-plane approach was used to insert a catheter near the mandibular nerve to provide intermittent or continuous peripheral nerve block. This report demonstrated that a continuous block of the mandibular nerve could effectively facilitate the seizure focus mapping and ablation. Conclusions: We can selectively suppress the contractures of a certain muscle in partial seizures by a continuous block of the responsible nerve. This blockade can facilitate seizure focus mapping and ablation. | en |
| DOI | https://doi.org/10.5812/ans.104360 | en |
| Keyword | Trigeminal Nerve | en |
| Keyword | Mandibular Nerve | en |
| Keyword | Mastication | en |
| Keyword | Nerve Block | en |
| Keyword | Epilepsy | en |
| Keyword | Seizures | en |
| Publisher | Brieflands | en |
| Title | Mastication Muscle Suppression by the Mandibular Branch of Trigeminal Nerve Catheter-Based, Ultrasound-Guided Block: A Case Report | en |
| Type | Case Report | en |