What is the role of anesthesia in the performance of trigeminal neuralgia (TN) surgery?

Updated: Sep 30, 2019
  • Author: Kim J Burchiel, MD, FACS; Chief Editor: Brian H Kopell, MD  more...
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Answer

Answer

Percutaneous procedures usually can be performed on an outpatient basis, with the patient under local or brief general anesthesia, at an acceptable or minimal risk of morbidity. For these reasons, they commonly are performed in debilitated persons or those older than 65 years.

Brief general anesthesia is indicated for percutaneous radiofrequency trigeminal gangliolysis (PRTG) and percutaneous balloon microcompression (PBM); no anesthesia is required for percutaneous retrogasserian glycerol rhizotomy (PRGR).

General anesthesia is indicated for microvascular decompression (MVD).


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