One hundred and forty-six patients with trigeminal neuralgia were studied. Of 49 patients ultimately maintained pain-free by non-medical means, 26 underwent peripheral neurectomy. Twenty of these achieved excellent pain control in the longer term and 5 of the remaining 6 became more responsive to carbamazepine after operation. Seven patients required repeat neurectomies. Peripheral neurectomy i...

Background: Severe pain is present in trigeminal neuralgia and may be devastating and debilitating. There are multiple modalities of nonsurgical techniques to help with pain and functionality. Patient: 47 year old male with 6 year history of facial pain due to trigeminal neuralgia. Treated at outside institution with medical management. Intervention: Left gasserian ganglion pulsed radiofrequenc...

BACKGROUND The aim of this study is to describe the results of 36 patients with trigeminal neuralgia treated with microvascular decompression. METHODS Between June 2005 and May 2012, 36 patients with trigeminal neuralgia were operated by the first author (AC), underwent microvascular decompression. The age, sex, duration of symptoms before surgery, and surgical finds, were all evaluated. In a...

Objective The aim of this study was to evaluate the therapeutic effect of computed tomography (CT)-guided percutaneous ozone injection for refractory trigeminal neuralgia. Design A retrospective evaluation was performed in the study. Setting The study was conducted at a university hospital pain center. Patients and methods A total of 29 patients with a clinical diagnosis of refractory tri...

Background/Aims: Constant pain, especially if prominent, is sometimes considered incompatible with a diagnosis of typical idiopathic trigeminal neuralgia. This study aims to clarify the frequency of patient-reported constant pain in patients with medically intractable, typical, idiopathic trigeminal neuralgia as diagnosed with standard clinical parameters and confirmed by the response to a modi...

The most common way to deal with a multiobjective optimization problem is to apply Pareto dominance relationship between solutions. The question is: how can we make a decision for a multiobjective problem if we cannot use the conventional Pareto dominance for ranking solutions? We will exemplify this by considering a multicriterion problem for a medical domain problem. Trigeminal Neuralgia (TN)...

BACKGROUND Trigeminal neuralgia is a relatively common neurosurgical pathology with multiple management options. Microvascular decompression (MVD) is nonablative and is considered the gold standard. However, stereotaxic radiosurgery (SRS) and percutaneous stereotaxic rhizotomy (PSR) are 2 noninvasive but ablative options that have rapidly gained support. OBJECTIVE To use Medicare claims data ...

100 patients with hemifacial spasm treated by microvascular decompression are presented. there were 60 females and 40 males. their ages ranged from 29 to 75 years with a median age of 54 years, and the left side was involved predominantly. the common focal signs were facial nerve palsy in 41 cases, diminished hearing in 14 cases, trigeminal neuralgia in 11 cases, and homolateral trigeminal neur...

BACKGROUND In patients with trigeminal neuralgia, results of clinical examination of sensory function are normal. Reflex and evoked potential studies have already provided information on large-afferent (non-nociceptive) function. Using laser-evoked potentials (LEP), the authors sought information on small-afferent (nociceptive) function. METHODS The brain potentials evoked by CO(2)-laser puls...