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Trigeminal neuralgia—pathophysiology, diagnosis and current treatment

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Presentation on theme: "Trigeminal neuralgia—pathophysiology, diagnosis and current treatment"— Presentation transcript:

1 Trigeminal neuralgia—pathophysiology, diagnosis and current treatment
T.J. Nurmikko, P.R. Eldridge  British Journal of Anaesthesia  Volume 87, Issue 1, Pages (July 2001) DOI: /bja/ Copyright © 2001 British Journal of Anaesthesia Terms and Conditions

2 Fig 1 MRTA of a patient with right TGN. Coronal reconstruction at the level of mid-pons showing the right trigeminal nerve (thin arrow) being compressed by an artery (thick arrow). British Journal of Anaesthesia  , DOI: ( /bja/ ) Copyright © 2001 British Journal of Anaesthesia Terms and Conditions

3 Fig 2 MRTA, sagittal reconstruction, showing the trigeminal nerve (star) and the artery compressing it from above (arrow). Same patient as in Figure 1. British Journal of Anaesthesia  , DOI: ( /bja/ ) Copyright © 2001 British Journal of Anaesthesia Terms and Conditions

4 Fig 3 Microscopic view of the trigeminal nerve (star) showing an arterial loop (triangle) compressing it. A vein (cross) is seen in close proximity to the nerve as well. British Journal of Anaesthesia  , DOI: ( /bja/ ) Copyright © 2001 British Journal of Anaesthesia Terms and Conditions

5 Fig 4 Lateral radiograph of radiofrequency needle inserted into the gasserian ganglion. British Journal of Anaesthesia  , DOI: ( /bja/ ) Copyright © 2001 British Journal of Anaesthesia Terms and Conditions

6 Fig 5 Balloon compression in TGN. Lateral radiograph showing the distended balloon in Meckel’s cave. Courtesy of Mr Varma, The Walton Centre for Neurology and Neurosurgery NHS Trust. British Journal of Anaesthesia  , DOI: ( /bja/ ) Copyright © 2001 British Journal of Anaesthesia Terms and Conditions


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