Gamma Knife Radiosurgery For Trigeminal Neuralgia: Current Concepts and Limitations

Dear viewer,
GKRS is a very useful, safe, and effective treatment modality for the management of refractory typical TN. It should be considered the treatment of choice for patients in old age, those with a terminal illness, those unwilling for surgery, those with a failed MVD procedure, and those with TN secondary to small skull base lesions. It would not be wrong to say that there is no current treatment for achieving a permanent cure of TN, as some risk of pain recurrence always remains, whatever be the treatment modality adopted. The pain may progress to other divisions of the TN or to the contralateral side. In the present era, a patient should be well informed about the various management options, their respective indications, the expected extent and duration of pain relief, the safety and complication profile, and the cost-effectiveness of the procedure. It not only helps in realizing realistic expectations from the treatment MVD should be considered the gold standard treatment option, but GKRS can be offered as an alternative treatment modality. The interested readers are encouraged to read my article on this issue and listen to my podcast.

Manjul Tripathi
Associate Professor
Dept. of Neurosurgery, PGIMER, Chandigarh
Gamma Knife Radiosurgery
Functional Neurosurgery, Oxford University, United Kingdom
Post Graduate Institute of Medical Education and Research (PGIMER)
Chandigarh, India
Phone: +91-9902355730
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