• Der Schmerz · Dec 2024

    Review

    [Surgical treatment of trigeminal pain].

    • Rezvan Ahmadi and Volker Martin Tronnier.
    • Neurochirurgische Klinik, Universitätsklinik Heidelberg, Im Neuenheimer Feld 400, 69120, Heidelberg, Deutschland. Rezvan.Ahmadi@med.uni-heidelberg.de.
    • Schmerz. 2024 Dec 1; 38 (6): 441448441-448.

    AbstractSurgical procedures for treating neuropathic pain, including trigeminal neuralgia (TGN), are categorized into three groups: decompression, ablation, and neuromodulation. Microvascular decompression is the only causal therapy for TGN, applicable favorably in cases of classical TGN due to a vascular nerve conflict. Ablative procedures include both percutaneous and radiosurgical methods, which are mainly used for idiopathic trigeminal neuralgia. For irreversible neuropathies of the trigeminal nerve, the algorithm for other neuropathic pain conditions should be considered, along with the potential use of neuromodulatory techniques. When selecting a therapy, diagnosis, medication side effects, individual patient risks, and treatment outcomes must all be taken into account (current S1 guideline from the German Society of Neurology).© 2024. This is a U.S. Government work and not under copyright protection in the US; foreign copyright protection may apply.

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