Trigeminal neuralgia is defined as sudden, severe, brief, stabbing, and recurrent pain within the distribution of one or more branches of the trigeminal nerve . Several destructive and nondestructive techniques are available for properly selected cases.Microvascular decompression may be considered over other techniques to provide the longest duration of pain freedom.Younger patients benefit from MVD whereas the elderly patients with poor risk are more suitable for percutaneous procedures and gamma knife radiosurgery
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