Trigeminal Neuralgia: Surgical Management

Question 1

Intracranial approach used to decompress the trigeminal nerve by relieving the contact between the cerebral vessel and trigeminal nerve root entry

Answer 1

Microvascular Decompression of the Trigeminal Nerve

Question 2

Relieves facial pain while preserving normal sensation but it is a major procedure, involving a craniotomy

Answer 2

Microvascular Decompression of the Trigeminal Nerve

Question 3

Produces a thermal lesion on the trigeminal nerve although pain is relief, Dysesthesia and loss of corneal reflex may occur

Answer 3

Percutaneous Radiofrequency Thermal Coagulation

Question 4

Disrupts large myelinated fibers of all 3 branches of the trigeminal nerve

Answer 4

Percutaneous Balloon Microcompression

Question 5

Balloon is filled with a contrast material for fluoroscopic identification and compresses the nerve root for 1 minute

Answer 5

Percutaneous Balloon Microcompression