Tew J M, van Loveren H
Am Fam Physician. 1985 May;31(5):143-50.
Trigeminal neuralgia nearly always can be relieved initially with drug therapy. Long-term relief, however, is achieved in only 25 percent of patients. When medical therapy fails, surgery may be necessary. Percutaneous rhizotomy is an effective technique for pain relief, with few medical contraindications. Posterior fossa exploration and neurovascular decompression or sensory root sectioning is reserved for those patients who do not improve after rhizotomy and for selected younger patients.
三叉神经痛几乎总能通过药物治疗获得初始缓解。然而，只有25%的患者能实现长期缓解。当药物治疗失败时，可能需要进行手术。经皮神经根切断术是一种有效的缓解疼痛的技术，几乎没有医学禁忌证。后颅窝探查及神经血管减压或感觉神经根切断术则适用于那些在神经根切断术后无改善的患者以及部分选定的年轻患者。
