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Trigeminal Neuralgia: Surgical Perspective

  • David B. Cohen
  • Michael Y. Oh
  • Peter J. Jannetta

Abstract

Trigeminal neuralgia, characterized by intermittent sharp, lancinating pain in the distribution of one or more branches of the trigeminal nerve, is the most common facial pain syndrome in the United States, with approximately 15,000 cases diagnosed each year [1]. Although a minority of cases are caused by spaceoccupying posterior fossa lesions such as tumors or vascular malformations, it is now well accepted that in most cases, the disorder results from vascular compression of the trigeminal nerve root [2]–[5]. The majority of patients respond, at least initially, to medical management, with surgery reserved for patients who do not respond to medications. Surgical options range from percutaneous, destructive procedures (glycerol or radiofrequency rhizotomy, balloon compression) to the invasive but nondestructive microvascular decompression. This chapter will review each of these surgical methods of treatment and compare and contrast them with stereotactic radiosurgery in the broader context of clinical decision-making.

Keywords

Trigeminal Neuralgia Gamma Knife Stereotactic Radiosurgery Gamma Knife Radiosurgery Microvascular Decompression 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • David B. Cohen
    • 1
  • Michael Y. Oh
    • 2
    • 3
  • Peter J. Jannetta
    • 2
    • 4
  1. 1.Department of NeurosurgeryAllegheny General HospitalPittsburghUSA
  2. 2.Department of NeurosurgeryDrexel University School of MedicineUSA
  3. 3.Stereotactic and Functional Neurosurgery, Department of NeurosurgeryAllegheny General HospitalPittsburghUSA
  4. 4.Department of Neurosurgery, Jannetta Center for Cranial Nerve DisordersAllegheny General HospitalPittsburghUSA

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