Meningitis after percutaneous radiofrequency trigeminal ganglion lesion. Case report and review of literature.

摘要: Case Report. A 79-year-old man with severe trigeminal neuralgia presented to the pain clinic, and was offered a radiofrequency ganglion lesion. He had only partial response first procedure, so second undertaken. The following day he signs of meningitis diagnosis confirmed on lumbar puncture. treated appropriate antibiotics, recovered well. Literature Review. current literature reports after percutaneous lesioning reveals an overall mean incidence 0.15% (confidence interval 0.10–0.21). Scottish Intercollegiate Guidelines Network guide decision routine use antimicrobial prophylaxis, although risk infection can be estimated from severity is high, effectiveness consequences prophylaxis cannot established. Conclusion. If breach oral mucosa has occurred, then antibiotic should administered.