Interventional Treatment for Trigeminal Neuralgia: Radiofrequency and Neuromodulation

  • Jean Pierre Van BuytenEmail author


Trigeminal neuralgia is initially managed pharmacologically. The selection of an interventional treatment is preceded by an accurate diagnosis with attention to vascular compression and potential neuropathy. Radiofrequency thermocoagulation of the Gasserian ganglion is well documented and preferred percutaneous treatment. There is evidence that efficacy and safety improve when the electrode placement is more precisely controlled, as with the neuronavigation techniques. The effect of pulsed radiofrequency treatment is shorter, but this treatment may be considered for patients at risk. When vascular compression is an important factor, microvascular decompression is preferred. On the other hand, neuromodulation may be indicated in cases of intractable neuropathy.


Trigeminal Nerve Trigeminal Neuralgia Microvascular Decompression Gasserian Ganglion Satisfactory Pain Relief 
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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of Multidisciplinary Pain CenterAZ Nikolaas HospitalSint NiklaasBelgium

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