Lidocaine infusion for the treatment of intractable trigeminal neuralgia: retrospective case series and systematic review - Summary - MDSpire

Lidocaine infusion for the treatment of intractable trigeminal neuralgia: retrospective case series and systematic review

  • By

  • Mohamed Wael Mohamed

  • Francis Irem-Oko

  • Asim Sheikh

  • Nicholas Phillips

  • Justin Mckinlay

  • Ian Anderson

  • September 29, 2025

  • 0 min

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Objective:

To evaluate the clinical response, duration of analgesic effect, and safety profile of intravenous Lidocaine for refractory trigeminal neuralgia (TGN) in a retrospective case series and systematic review.

Key Findings:
  • Twenty patients were included in the case series, all with refractory TGN.
  • Lidocaine infusion provided symptomatic relief in patients unresponsive to standard treatments, with an average pain relief duration of X months (insert specific data).
  • Pain relief duration categorized into 6 months, with specific percentages (insert data).
Interpretation:

Intravenous Lidocaine may serve as an effective rescue therapy for patients with refractory TGN, especially when conventional treatments fail, highlighting its potential role in pain management strategies.

Limitations:
  • Retrospective design limits causal inference and may introduce selection bias.
  • Small sample size may affect generalizability.
  • Methodological heterogeneity in included studies for systematic review.
Conclusion:

Intravenous Lidocaine infusion shows promise as a treatment option for refractory TGN, warranting further investigation in larger, controlled studies to validate these findings.

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