Tic Douloureux Surgery
Those who do not respond to medication may be candidates for a surgery.
Surgery for trigeminal neuralgia may involve:
Surgery for trigeminal neuralgia
- Microvascular decompression (MVD):
- Surgically separating blood vessels from a position next to the trigeminal nerve reduces pressure on the nerve and relieves pain.
- Percutaneous balloon microcompression of the trigeminal nerve (PBM):
- A catheter is inserted through the skin of the face
- A balloon is inflated through the catheter
- The catheter places pressure on the trigeminal nerve, destroying the nerve
- Percutaneous radiofrequency rhizotomy (RZ):
- A needle is inserted through the skin of the face
- An electrode is placed through the needle
- The electrode burns the pain fibers in the trigeminal nerve
- Gamma-knife radiosurgery (GKR):
- Delivers a focused beam of radiation to the trigeminal nerve to relieve pain
- Effective for about 80% of those who have the procedure done
- Pain relief may be gradual
- No anesthesia is required
- May cause some numbness in the face.
Continue to Tic Douloureux Home Care
- Bagheri SC, Farhidvash F, Perciaccante VJ. Diagnosis and treatment of patients with trigeminal neuralgia. J Am Dent Assoc. 2004 Dec;135(12):1713-7. 
- Cheshire WP. Trigeminal neuralgia: diagnosis and treatment. Curr Neurol Neurosci Rep. 2005 Mar;5(2):79-85. 
- Urgosik D, Liscak R, Novotny J Jr, Vymazal J, Vladyka V. Treatment of essential trigeminal neuralgia with gamma knife surgery. J Neurosurg. 2005 Jan;102 Suppl:29-33.