Evidence map›Paper›PMID 41021111›Full record

SynthesisActa neurochirurgica2025

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

Mohamed Wael Mohamed, Francis Irem-Oko, Asim Sheikh, Nicholas Phillips, Justin Mckinlay, Ian Anderson

Abstract readSystematic Review
In one paragraph

Synthesis in Acta neurochirurgica, 2025. 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
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. Review
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

6 authors.

Mohamed Wael MohamedDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom. mohamedwael.mohamed@nhs.net.
Francis Irem-OkoDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
Asim SheikhDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
Nicholas PhillipsDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
Justin MckinlayDepartment of Neuroanaesthesia, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.
Ian AndersonDepartment of Neurosurgery, Leeds Teaching Hospitals NHS Trust, Leeds, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTrigeminal neuralgia classically manifests with intense facial pain. When the condition is unresponsive to standard treatment, it is referred to as refractory trigeminal neuralgia. AIMS AND

objectivesThe study aimed to investigate the effectiveness, duration of pain relief and safety profile of intravenous Lidocaine in managing this debilitating condition. MATERIALS AND

methodsA retrospective case series in a UK tertiary neurosurgery centre studied twenty trigeminal neuralgia patients who underwent Lidocaine infusion from January 2016 to December 2022. A systematic review of the literature was also undertaken.

resultsAfter the first intravenous Lidocaine injection, 16 patients (80%) achieved an efficacy score of III, i.e. they reported pain that had become adequately controlled with their medications. In addition, one patient achieved a BNI score of II and three patients (15%) did not respond to treatment. In addition, nine patients (45%) reported reduced pain intensity for more than six months, six patients (30%) for less than three months, and five patients (25%) for three to six months. There were no treatment-related significant adverse events.

conclusionLidocaine infusion therapy for refractory worsening trigeminal neuralgia is safe and improved pain control when combined with ongoing medical therapy.

Indexed as

Anesthetics, LocalLidocaineTrigeminal NeuralgiaAdultAgedFemaleHumansInfusions, IntravenousMaleMiddle AgedRetrospective StudiesTreatment OutcomeAnesthetics, LocalLidocaineFacial painLidocaine infusionTrigeminal neuralgia

Identifiers

PMID41021111
PMCPMC12479685

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Registered trials

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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.