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Percutaneous Trigeminal Ganglion Compression for the Treatment of Trigeminal Neuralgia: Report of Two Cases

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Author(s): Jyi-Feng Chen | Shih-Tseng Lee | Tai-Ngar Lui | Chieh-Tsai Wu

Journal: Chang Gung Medical Journal
ISSN 2072-0939

Volume: 25;
Issue: 02;
Start page: 122;
Date: 2002;
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Keywords: percutaneous trigeminal ganglion compression | trigeminal neuralgia

ABSTRACT
Percutaneous trigeminal ganglion compression for the relief of trigeminal neuralgia is atechnically simple, non-painful procedure, carried out under brief general anesthesia. Thepatients could tolerate well during the treatment. The operation successful rate is high, andthe procedure can be repeated at the next day if the symptom was not relieved. The procedure,in the present, is the first choice for those trigeminal neuralgia patients who are poormedical risks, those who are above the age of 65, those with demyelinating disease, andthose who are unwilling to accept the increased risk of a posterior fossa craniectomy. Wehave successfully performed this procedure for two recurrent trigeminal neuralgia patientswithout any surgical complication. We propose this surgical treatment algorithm for trigeminalneuralgia patients who are not able to tolerate the medical treatment.

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