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Updated: Jul 5, 2026

Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
[Trigeminal neuralgia-how patients experience their condition disease.]
M Mohadjer1, R Scheremet, R H Kutschera
1Abteilung für Allg, Neurochirurgie im Neurozentrum, Universitätsklinikum, Breisacher Staße 64, D-79106, Freiburg.
Trigeminal neuralgia diagnosis and treatment remain challenging despite reported high success rates. Many patients endure prolonged suffering, unnecessary procedures, and significant financial burdens due to diagnostic delays and ineffective therapies.
Area of Science:
- Neurology
- Pain Management
- Neurosurgery
Context:
- Trigeminal neuralgia (TN) diagnosis and treatment present significant challenges.
- Despite advances, many patients experience prolonged suffering and diagnostic delays.
- Interdisciplinary cooperation is often lacking, leading to suboptimal patient care.
Purpose:
- To analyze the diagnostic and therapeutic course of trigeminal neuralgia patients.
- To highlight the difficulties in achieving effective treatment for TN.
- To emphasize the need for improved information and collaboration among specialists.
Summary:
- Retrospective analysis of 120 TN patients revealed an average 5.5-year "pain career" before effective therapy.
- Patients underwent numerous interventions, including extensive medication use and surgeries, often with adverse outcomes.
- Significant financial burdens were incurred by patients and health insurance providers.
Impact:
- Highlights the critical need for enhanced understanding of TN symptoms, causes, diagnosis, and therapy.
- Stresses the importance of immediate drug treatment consultation with specialists for suspected TN cases.
- Underscores the availability of surgical options like microvascular decompression for refractory cases.
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