Extensive Craniocervical Abscess after Transoral Ganglionic Local Opioid Analgesia at the Superior Cervical Ganglion for Atypical Trigeminal Neuralgia: Report of a Severely Complicated Case.

Christoph Sproll, Bernd Turowski, Rita Depprich, Norbert R Kübler, Marion Rapp, Julian Lommen, Henrik Holtmann

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In one paragraph

Article in Case reports in medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it

0cells of the map it votes in

1citing papers in PubMed

–field-weighted citation impact, top 91% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

Safety and utility of ultrasound-guided superior cervical ganglion block for headaches and orofacial pain: a retrospective, single-center study of 10 patients.JA clinical reports · 2023
Article

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Christoph SprollClinic for Oral and Maxillofacial Surgery, University Hospital, Heinrich-Heine-University, Moorenstraße 5, 40225 Düsseldorf, Germany.

Bernd TurowskiInstitute for Diagnostic and Interventional Radiology, Division of Neuroradiology, University Hospital, Heinrich-Heine-University, Moorenstraße 5, 40225 Düsseldorf, Germany.

Rita DepprichClinic for Oral and Maxillofacial Surgery, University Hospital, Heinrich-Heine-University, Moorenstraße 5, 40225 Düsseldorf, Germany.

Norbert R KüblerClinic for Oral and Maxillofacial Surgery, University Hospital, Heinrich-Heine-University, Moorenstraße 5, 40225 Düsseldorf, Germany.

Marion RappClinic for Neurosurgery, University Hospital, Heinrich-Heine-University, Moorenstraße 5, 40225 Düsseldorf, Germany.

Julian LommenClinic for Oral and Maxillofacial Surgery, University Hospital, Heinrich-Heine-University, Moorenstraße 5, 40225 Düsseldorf, Germany.

Henrik HoltmannClinic for Oral and Maxillofacial Surgery, University Hospital, Heinrich-Heine-University, Moorenstraße 5, 40225 Düsseldorf, Germany.ORCID 0000-0003-1477-6400

Düsseldorf University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ganglionic local opioid analgesia (GLOA) describes the application of low-dose opioids close to sympathetic as, for example, to the superior cervical ganglion. GLOA can be effective in different pain syndromes affecting the head and face region and has been considered to be a safe technique with few complications reported so far. We present the case of a patient who received a single, transoral GLOA for a refractory trigeminal neuralgia. The patient subsequently developed an extensive epidural abscess at the craniocervical junction, requiring ultimately transoral odontoid resection and dorsal stabilisation. This severe complication challenges the role of transoral infiltration therapies in analgetic medicine.

Identifiers

PMID29977303

DOI10.1155/2018/5247594

PMCPMC5994273

OpenAlexW2803627816

What OpenQuestion holds

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LicenceCC BY

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.