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Gamma Knife for Trigeminal Neuralgia

Radiosurgery has been shown to provide complete pain relief for 60% to 70% of patient. The majority of these patients have had one or more failed prior operations (average, 2 operations).

In one review the response rates for radiosurgery: classical trigeminal (77%), multiple sclerosis (43%) post-herpetic (38-44%) and atypical (33%).

good sites:

University of Pittsburgh, Northwest, Mass General, IRSA Guidelines and IRSA story 

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Approximately 5% to 10% of patients will develop new or worsened facial numbness after radiosurgery for trigeminal neuralgia.
Radiosurgery to alleviate trigeminal neuralgia was first advocated in 1951. Recent experience indicates that after retrogasserian radiosurgery (maximal dose 70–80 Gy with 4-mm diameter collimators), 58–70% of trigeminal neuralgia patients will eventually obtain complete relief from their pain. Go to references, recent references  and see summary below.

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Literature Review for Trigeminal Neuralgia (go here)
Therapy Success Rate Vn Morbidity VIIIn Morbidity
Gamma Knife 87% 3% 0%
  82 - 94%    
MicroSurgery 77% 8% 3%
  62-94%