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Neurochirurgie. 2009 Apr;55(2):223-5. doi: 10.1016/j.neuchi.2009.02.007. Epub 2009 Mar 27.

[Algorithms for neurosurgical treatment of trigeminal neuralgia].

[Article in French]

Author information

1
Service de neurochirurgie A, hôpital neurologique Pierre-Wertheimer, groupement hospitalier - Est, 69003 Lyon cedex, France.

Abstract

Surgery should be considered only after anticonvulsant medications have failed or if medical treatment is not well-tolerated, including in cases of asthenia or drowsiness. In most reference centers, consensus is that MVD is the first option when patients are in good health. Percutaneous lesioning operations or radiosurgery are preferable in patients with adverse co-morbidity or those who are not willing to undergo open surgery.

PMID:
19328505
DOI:
10.1016/j.neuchi.2009.02.007
[Indexed for MEDLINE]
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