Fluoroscopy-Guided Radiofrequency Ablation of the Supraorbital Nerve for Refractory Painful Post Herpetic Trigeminal Neuralgia: A Case Report.

Authors

Jessica Hanflink, Vida Motamedi, Tigran Kesayan

Published in

Pain medicine case reports. Volume 10. Issue 4. Pages 369-373.

Abstract

Post-herpetic Neuralgia (PHN) is the most common complication of Herpes Zoster (HZ) and is characteristically difficult to treat with limited pharmacologic and interventional options. We present a case of PHN of the supraorbital branch of the trigeminal nerve successfully treated with thermal radiofrequency ablation.
An 82 year-old woman with a 7 year history of supraorbital branch neuralgia following HZ, presented to clinic with pain refractory to a multimodal oral pain regimen. Her pain resolved for 3 days after a supraorbital nerve block, and she had durable relief following right supraorbital thermal radiofrequency nerve ablation (RFA) which produced a > 75% decrease in her pain and lasting for months. She currently continues to receive this treatment every 6 to 10 months.
When medications fail, RFA is a potential treatment option for V1. Additionally, the risk of post-RFA neuritis and anesthesia dolorosa should be considered.

PMID:
42456076
Bibliographic data and abstract were imported from PubMed on 16 Jul 2026.

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