title: Trigeminal neuralgia: a plea for microvascular decompression as the first surgical option. Anatomy should prevail.
abstract: Arguments are given to plead why micro-vascular decompression should be the first surgical option to treat primary trigeminal neuralgias resistant to anticonvulsants.
authors.forename: Marc
authors.initials: M
authors.lastname: Sindou
mesh_terms: D001488:Basilar Artery / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery; D017115:Catheter Ablation / Q000009:adverse effects / Q000379:methods / Q000592:standards; D002404:Catheterization / Q000009:adverse effects / Q000379:methods / Q000592:standards; D002985:Clinical Protocols; D035301:Cranial Fossa, Middle / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery; D020000:Decision Support Systems, Clinical; D019299:Decompression, Surgical / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods / Q000592:standards*; D019635:Neurosurgical Procedures / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data; D011300:Preoperative Care / Q000379:methods / Q000592:standards*; D016634:Radiosurgery / Q000009:adverse effects / Q000379:methods / Q000592:standards; D019051:Rhizotomy / Q000009:adverse effects / Q000379:methods / Q000592:standards; D018570:Risk Assessment; D012668:Trigeminal Ganglion / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery; D014276:Trigeminal Nerve / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery; D014277:Trigeminal Neuralgia / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D014656:Vascular Surgical Procedures / Q000379:methods / Q000592:standards* / Q000706:statistics & numerical data