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Updated: Jan 24, 2026
09:35
Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain
Published on: May 10, 2017
19.5K
Trigeminal Neuralgia and Other Facial Neuralgias
Amparo Wolf1, Douglas Kondziolka2
1Center for Advanced Radiosurgery, NYU Langone Medical Center, New York, New York, USA.
Progress in Neurological Surgery
|May 17, 2019
Summary
Radiosurgery offers an effective, minimally invasive treatment for trigeminal neuralgia (TN), comparable to traditional methods. It provides a favorable alternative for patients seeking to avoid anesthesia and lengthy hospital stays.
Area of Science:
- Neurosurgery
- Neurology
- Radiation Oncology
Background:
- Trigeminal neuralgia (TN) is a debilitating neuropathic pain condition.
- Management of TN often involves invasive procedures with potential risks.
- Radiosurgery presents a non-invasive therapeutic option.
Purpose of the Study:
- To evaluate the efficacy and safety of radiosurgery for type 1 trigeminal neuralgia.
- To explore radiosurgery's utility in secondary TN and other craniofacial neuralgias.
- To highlight patient preference for radiosurgery due to its favorable risk profile.
Main Methods:
- Stereotactic radiosurgery (SRS) application for TN management.
- Analysis of treatment outcomes and complication rates.
- Comparison with other ablative surgical techniques.
Main Results:
- Radiosurgery demonstrates comparable efficacy to other ablative treatments for type 1 TN.
- Successful treatment of secondary TN (e.g., MS-related, tumor-related) and select craniofacial neuralgias.
- Minimal complications associated with radiosurgery compared to invasive procedures.
Conclusions:
- Radiosurgery is a highly effective and safe treatment for trigeminal neuralgia.
- It offers a valuable alternative for patients preferring non-invasive options.
- Radiosurgery minimizes risks associated with general anesthesia and hospitalization.
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