The Psychological Impact and Management of Trigeminal Neuralgia

Thertus, Ketty

doi:10.1007/978-3-030-60687-9_21

Trigeminal Nerve Pain 2020

DOI: 10.1007/978-3-030-60687-9_21

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The Psychological Impact and Management of Trigeminal Neuralgia

Ketty Thertus

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2024

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Cited by 1 publication

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Outcomes of Different Surgical Interventions for Treating Trigeminal Neuralgia: A Review

McBenedict,

Hauwanga,

Yau

et al. 2024

Cureus

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Trigeminal neuralgia (TN) is a debilitating condition characterized by severe facial pain. Various surgical interventions are employed to manage this condition, including microvascular decompression (MVD), percutaneous radiofrequency rhizotomy (PRR), glycerol rhizotomy, percutaneous balloon compression (PBC), and stereotactic radiosurgery such as Gamma Knife radiosurgery (GKRS). This review synthesizes the outcomes of these interventions to provide an understanding of their efficacy and associated risks. MVD, known for its high initial relief rates, shows substantial long-term effectiveness, with recurrence rates varying based on patient demographics and comorbidities. GKRS offers significant pain relief with a favorable adverse event profile; however, recurrence rates increase over time, necessitating repeat procedures for sustained efficacy. PBC demonstrates high initial success, but pain recurrence is common, especially in patients with atypical TN. PRR provides immediate relief with a manageable recurrence rate and is particularly suitable for elderly patients and those with comorbidities. Glycerol rhizotomy, a cost-effective procedure, yields comparable outcomes to other interventions but requires careful patient selection. This review highlights the importance of tailored treatment approaches based on individual patient profiles, emphasizing the need for precise diagnostic criteria and careful patient selection to optimize outcomes. Long-term follow-up and the potential for repeat interventions are critical considerations in managing TN surgically.

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Outcomes of Different Surgical Interventions for Treating Trigeminal Neuralgia: A Review

McBenedict,

Hauwanga,

Yau

et al. 2024

Cureus

View full text Add to dashboard Cite

show abstract

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The Psychological Impact and Management of Trigeminal Neuralgia

Cited by 1 publication

References 47 publications

Outcomes of Different Surgical Interventions for Treating Trigeminal Neuralgia: A Review

Outcomes of Different Surgical Interventions for Treating Trigeminal Neuralgia: A Review

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