Percutaneous Procedures for Trigeminal Neuralgia

摘要: Trigeminal neuralgia (TN) refractory to medical management may be treated by percutaneous rhizotomy via radiofrequency, glycerol, or balloon compression. These procedures are minimally invasive with a high rate of pain relief low procedural risk and preferred microvascular decompression in patients advanced age, comorbidities, symptomatic TN from multiple sclerosis, failure other surgical treatments. An understanding the anatomic relationship foramen ovale its surrounding structures is essential for safe insertion needle, treatment selectivity trigeminal nerve distribution differs based on procedure chosen. Rates acute excellent, although some degree hypesthesia usually seen symptoms frequently recur years after treatment, which can make repeat necessary. This chapter will address patient selection, perioperative considerations, techniques, complications, outcome TN.