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$Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain$

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Percutaneous Procedures for Trigeminal Neuralgia.

Kyung Won Chang¹, Hyun Ho Jung¹, Jin Woo Chang¹

¹Brain Research Institute, Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea.

Journal of Korean Neurosurgical Society

|June 9, 2022

Summary

Percutaneous procedures offer a less invasive and safe option for trigeminal neuralgia (TN) treatment, providing durable pain relief. These techniques remain valuable for specific patient groups, even with microvascular decompression as the gold standard.

Keywords:

Glycerol rhizotomy Percutaneous balloon compression Radiofrequency thermocoagulation Trigeminal neuralgia

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$Subcutaneous Trigeminal Nerve Field Stimulation for Refractory Facial Pain$

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Microvascular Decompression: Salient Surgical Principles and Technical Nuances

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Published on: July 5, 2011

Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line

Author Spotlight: Minimally Invasive Relief for Occipital Neuralgia at the Nuchal Line

Published on: September 13, 2024

Area of Science:

Neurosurgery
Pain Management
Neurology

Background:

Microvascular decompression is the standard treatment for trigeminal neuralgia (TN).
Percutaneous techniques offer advantages like less invasiveness and immediate, durable pain relief for TN.
Patient preference and previous treatment outcomes influence procedural choices.

Purpose of the Study:

To review percutaneous procedures for trigeminal neuralgia (TN).
To discuss the outcomes and complications associated with these less invasive TN treatments.

Main Methods:

Literature review of percutaneous procedures for TN.
Analysis of patient selection criteria, including idiopathic and episodic sharp shooting pain.
Evaluation of neurovascular conflict's role in TN treatment decisions.

Main Results:

Percutaneous techniques provide immediate and lasting pain relief for TN.
These methods are less invasive and safe alternatives for select TN patients.
Neurovascular conflict is not a mandatory condition for all TN patients undergoing percutaneous treatment.

Conclusions:

Percutaneous procedures remain a relevant and effective treatment option for trigeminal neuralgia (TN).
Indications persist for patients with idiopathic, episodic sharp shooting pain, and those with prior treatment failures.
Patient preference for minimally invasive options supports the continued use of percutaneous techniques.