Human trigeminal root evoked potentials during differential retrogasserian thermal and chemical rhizotomy

Human trigeminal root evoked potentials have been recorded using signal averaging techniques during radiofrequency trigeminal rhizotomy and lidocaine blocks in patients with trigeminal neuralgia. Both short and long latency trigeminal root potentials have been recorded which appear to represent fast- and slow-conducting fiber activity respectively. Long latency trigeminal root potentials appear in recordings at the noxious threshold as perceived by the awake patient and are relatively selectively abolished in a reversible fashion by lidocaine block and irreversibly by radiofrequency heat. Evaluation of these trigeminal root potentials provides an objective assessment of the results of pain surgery directed at differential destruction of slow-conducting fiber activity.