While antiepileptic drugs such as carbamazepine, gabapentin, baclofen, or amitriptyline can be used for medical treatment, radiofrequency gangliolysis, retrogasserian
glycerol injections, microvascular decompression surgery, and the gamma knife system are other treatment modalities.
When medicinal treatment is no more effective various surgical modalities can be tried which include peripheral procedures like glycerol and alcohol injections, cryosurgery, peripheral neurectomy and central procedures viz microvascular decompression, radio frequency thermocoagulation, glycerol gangliolysis, balloon compression, percutaneous retrogasserian
glycerol rhizotomy and gamma knife radiosurgery10.
Percutaneous retrogasserian glycerol rhizotomy for patients with idiopathic trigeminal neuralgia: A prospective analysis of factors related to pain relief.
Percutaneous retrogasserian balloon compression for trigeminal neuralgia: Review of critical technical details and outcomes.