Multimodality treatment of trigeminal neuralgia

Ramin Amirnovin, Joseph S. Neimat, Jane A. Roberts, Emad N. Eskandar

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Most trigeminal neuralgia (TN) studies focus on a single strategy, microvascular decompression (MVD) or percutaneous rhizotomy (PR). We use a multimodality approach to TN. We perform MVD on patients younger than 70 years and PR on older patients or those where MVD has failed. We performed a chart review of the procedures for TN over the past 3 years and used a questionnaire for long-term follow-up. The questionnaire asked patients to rate their pre- and postoperative pain, outcome, and medication changes. Seventy-four procedures (40 MVDs and 34 PRs) were performed on 67 patients. Twenty patients had undergone previous procedures. 93% of the patients had significant initial pain relief. Over a 1.2-year mean follow-up, 51% of the patients had complete pain relief while 27% had a substantial improvement. There were no deaths and 5 complications. Our results suggest that a multimodality approach to TN yields excellent results with minimal complications.

Original languageEnglish (US)
Pages (from-to)197-201
Number of pages5
JournalStereotactic and Functional Neurosurgery
Issue number5-6
StatePublished - Apr 2006
Externally publishedYes


  • Microvascular decompression
  • Percutaneous rhizotomy
  • Trigeminal neuralgia

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology


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