Treatment of trigeminal neuralgia associated with multiple sclerosis: case report.
The incidence of trigeminal neuralgia (TN) in patients with multiple sclerosis is higher than in the general population. If pharmacologic therapy fails, invasive procedures in the gasserian ganglion are usually offered. Microvascular decompression is not routinely performed. The authors report a patient with persistent TN after repetitive trigeminal radiofrequency rhizotomy and finally successful microvascular decompression after demonstration of neurovascular compression with high-resolution MRI.
Rasche
D
D
Department of Neurosurgery, University of Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany. dirk.rasche@med.uni-heidelberg.de
Kress
B
B
Schwark
C
C
Wirtz
C R
CR
Unterberg
A
A
Tronnier
V M
VM
D019299:Decompression, Surgical; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000150:complications*; D019051:Rhizotomy; D014276:Trigeminal Nerve / Q000473:pathology; D014277:Trigeminal Neuralgia / Q000150:complications / Q000473:pathology / Q000601:surgery*