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Cirugía y cirujanos
versão On-line ISSN 2444-054Xversão impressa ISSN 0009-7411
Resumo
MOLINA-OLIER, Osvaldo; MARSIGLIA-PEREZ, Diego e ALVIS-MIRANDA, Hernando. Surgical treatment of trigeminal neuralgia in adults. Cir. cir. [online]. 2022, vol.90, n.4, pp.548-555. Epub 19-Ago-2022. ISSN 2444-054X. https://doi.org/10.24875/ciru.20000772.
Trigeminal neuralgia is a painful disorder of the face that negatively affects the functionality of those who suffer from it. Microvascular decompression remains the top choice for its short and long-term outcomes. In those who are not candidates for open surgery, ablative options become valuable, including radiosurgery, and radiofrequency, balloon, and glycerol rhizotomies. Radiosurgery can be useful in cases of trigeminal neuralgia associated with multiple sclerosis. A scheme is proposed to facilitate decision-making considering outcomes, predictors of response and complication rates.
Palavras-chave : Neuralgia; Facial pain; Microvascular decompression; Radiofrequency; Rhizotomy.