Radiofrequency selectiverhizotomy in the treatment of trigeminal neuralgia


  • B. B. Pavlov Center for Pain Medicine, Kyiv


trigeminal neuralgia, radiofrequency rhizotomy, Center for Pain Medicine (Kyiv)


We describe two cases of trigeminal neuralgia successful treatment with the help of percutaneous radiofrequency rhizotomy of Gasser's ganglion. In one case it was the maxillary branch of the trigeminal nerve, in another case – the mandibular branch. The attention is focused on the epidemiology, clinical signs and indication for manipulation. The procedure technique is reported in details. The complete examination of the patient allows the neurosurgeon to perform the minimally invasive surgery technically competent. The patient immediately feels positive effects. In both cases, within three weeks there was a complete refusing of anticonvulsants.


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Practice parameter: the diagnostic evaluation and treatment of trigeminal neuralgia (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the European Federation of Neurological Societies / G. Gronseth, G. Cruccu, J. Alksne et аl.]. // Neurology. – 2008. – N 71. – P. 1183–90.

Von Piekartz H. Craniofacial pain: guidelines for a neuroorthopaedic approach / Harry Von Piekartz. – Edinburgh ; New York : Butterworth-Heinemann, 2007. – 735 p.

A. Gauci C. Manual of RF Techniques / Charles A.Gauci. – Meggen (LU), Switzerland : FlivoPress SA, 2004. – 140 p.



How to Cite

Pavlov BB. Radiofrequency selectiverhizotomy in the treatment of trigeminal neuralgia. PMJUA [Internet]. 2016 Dec. 1 [cited 2023 Feb. 2];1(4):67-70. Available from:



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