Two imaging methods face off in Nerve-Zapping procedure for face pain
NCT ID NCT06620172
First seen Sep 22, 2026 · Last updated Sep 23, 2026 · Updated 1 time
Summary
Researchers compare two ways of guiding a procedure that uses heat to damage a nerve cluster and ease the severe facial pain of idiopathic trigeminal neuralgia. Adults with pain lasting at least six months that has not responded well to medication receive either CT-guided or fluoroscopy-guided radiofrequency thermocoagulation. The trial tracks pain scores, medication use, and side effects over six months to see whether one imaging method offers better relief or safety.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- radiofrequency thermocoagulation of the trigeminal ganglion, guided by CT imaging or fluoroscopy
- What this could lead to
- If one imaging method proves better, doctors could choose the more precise guidance technique to deliver longer-lasting pain relief with fewer complications for people with trigeminal neuralgia.
- What could go wrong
- This is a small, single-center study of 68 people, so the results may not apply broadly. Radiofrequency thermocoagulation carries risks of facial numbness, weakness, or pain recurrence, and neither imaging method may clearly outperform the other.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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68 people
The number who actually took part.
- Started
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Nov 2024
- Finished
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Oct 2025
- Lead sponsor
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A government agency
The lead sponsor is a government body.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Age \>18 years * Idiopathic trigeminal neuralgia (TN) based on the International Headache Society criteria * Pain for at least six months and a NRS score greater than 6 despite medical treatment * Able to provide informed consent. * Agree to follow the study procedures and attend follow-up visits. Exclusion Criteria: * Vascular compression of the trigeminal nerve by MRI and MRI angiography and the presence of secondary causes such as multiple sclerosis * Trigeminal autonomic cephalalgias accompanied by autonomic symptoms * Dental or temporomandibular joint pathologies * Previous interventional procedures or surgery for TN * Coagulopathy or use of antiaggregants and anticoagulants * Cardiac pacemaker * Renal-hepatic insufficiency * Diagnosis of psychiatric illness * Malignancy * Injection site or systemic infection * Current participation in another clinical trial that could interfere with the outcomes of this study.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Zagazig University, Faculty of Medicine
Zagazig, Sharqia Province, 44519, Egypt
More trials for these conditions
Other studies related to the condition(s) this trial covers.
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- Pain relief showdown: one drug vs. two for facial nerve pain
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