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Trigeminal Neuralgia is a disorder of the trigeminal nerve which causes episodes of intense pain in the face. This is often caused by compression of the Nerve by a blood vessel as it emerges from the brainstem.


Treatment includes –

Medication – usually managed by the Neurologists or pain physicians

Ablative surgery

  • Radiosurgery (SRS)
  • Percutaneous Stereotactic rhizotomy with RF or glycerol injection
  • Surgical Rhizotomy
  • Peripheral Neurectomy

Physiological (Surgery)

  • Microvascular decompression

The two procedure that I use to treat this clinical condition are the Glycerol injection and the microvascular decompression. When the patient is an elderly patient or one that is medically unfit for general anaesthesia, a trigeminal injection is undertaken. The microvascular decompression is the preferred option as it is not an ablative procedure which has the highest success rates and a more definitive procedure with good long-term results.

  • royal-australasian-college-of-surgeons
  • flinders-medical-centre
  • cmc-vellore
  • calvary-adelaide-hospital
  • Neurosurgical Research Foundation