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KMID : 1001920220650050622
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Journal of Korean Neurosurgical Society
2022 Volume.65 No. 5 p.622 ~ p.632
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Percutaneous Procedures for Trigeminal Neuralgia
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Chang Kyung-Won
Jung Hyun-Ho
Chang Jin-Woo
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Abstract
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Microvascular decompression is the gold standard for the treatment of trigeminal neuralgia (TN). However, percutaneous techniques still play a role in treating patients with TN and offer several important advantages and efficiency in obtaining immediate pain relief, which is also durable in a less invasive and safe manner. Patients’ preference for a less invasive method can influence the procedure they will undergo. Neurovascular conflict is not always a prerequisite for patients with TN. In addition, recurrence and failure of the previous procedure can influence the decision to follow the treatment. Therefore, indications for percutaneous procedures for TN persist when patients experience idiopathic and episodic sharp shooting pain. In this review, we provide an overview of percutaneous procedures for TN and its outcome and complication.
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KEYWORD
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Trigeminal neuralgia, Radiofrequency thermocoagulation, Percutaneous balloon compression, Glycerol rhizotomy
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