[Retrospective assessment of bilateral trigeminal neuralgia treatment]

Bilateral trigeminal neuralgia is a rarely observed suffering. It is usually localised on one half of the face and few years after therapy or idiopathic regression it appears on the other side. In exceptional cases trigeminal neuralgia appears on both sides at the same time. Neurovascular decompression or neurotomy in the pontocerebellar angle are the most effective therapy. In the last 25 years of 257 surgically treated patients with trigeminal neuralgia bilateral pain was found in 12 cases (5%). Retrospective assessment of the used method, in our department, in the treatment of trigeminal neuralgia demonstrated efficacy of this procedure.