In patients with TN refractory to medical therapy, it is reasonable to discuss options for surgical therapy using microvascular decompression or ablative procedures (rhizotomy with radiofrequency thermocoagulation, mechanical balloon compression
, or chemical (glycerol) injection, radiosurgery, peripheral neurectomy and nerve block).
Percutaneous retrogasserian balloon compression for trigeminal neuralgia: Review of critical technical details and outcomes.
Percutaneous balloon compression of the Gasserian ganglion for the treatment of trigeminal neuralgia: Personal experience of 206 patients.
is another method used to damage the trigeminal nerve.
She had tried many different treatments, including drug therapies, radiosurgery with cobalt sources, and, most recently, balloon compression
of the left trigeminal nerve.
Surgical options include microvascular decompression, percutaneous balloon compression
, radio-frequency thermocoagulation, and glycerol injection.