Surgical Treatment of Trigeminal Neuralgia

Sarah K.B. Bick, Emad N. Eskandar

Research output: Contribution to journalReview article

18 Scopus citations

Abstract

Trigeminal neuralgia is characterized by severe, episodic pain in the trigeminal nerve distribution. Medical therapy is the first line treatment. For patients with refractory pain, a variety of procedures including microvascular decompression, percutaneous radiofrequency rhizotomy, percutaneous glycerol rhizotomy, percutaneous balloon compression, and stereotactic radiosurgery are available. We review the literature and suggest that microvascular decompression remains the gold standard operative therapy. For patients with recurrent pain or who are poor operative candidates, percutaneous radiofrequency rhizotomy offers the best pain response rates and has the advantage of being able to selectively target affected trigeminal divisions.

Original languageEnglish (US)
Pages (from-to)429-438
Number of pages10
JournalNeurosurgery Clinics of North America
Volume28
Issue number3
DOIs
StatePublished - Jul 1 2017
Externally publishedYes

Keywords

  • Microvascular decompression
  • Percutaneous balloon compression
  • Percutaneous glycerol rhizotomy
  • Percutaneous radiofrequency rhizotomy
  • Trigeminal neuralgia

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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