Trigeminal Neuralgia is known as Fothergill's Disease. It presents with sharp,lancinating electric shock paroxysmal facial pain in one or more distributions of the trigeminal nerve(cranial nerve V).Treatment options include medications (tegretol, dilantin, amitriptyline etc0, facial percutaneous trigeminal glycerol/balloon/radiofrequency treatments, radiosurgery and posterior fossa micovascular decompression of the trigeminal nerve(Jannetta's procedure). Investigatons such as CT & MR brain with trigeminal neurography are essential.Gamma knife /Cyber knife surgery &CT-MR targeted beam surgery have an inrcreasing role are entering the area of non-scalpel/injection management of TGN.
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