Letter to the Editor. Cafeteria approach to management of trigeminal neuralgia: stereotactic radiosurgery as a preferred option

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TO THE EDITOR: We have read with great interest the article by Tuleasca and colleagues3 (Tuleasca C, Régis J, Sahgal A, et al: Stereotactic radiosurgery for trigeminal neuralgia: a systematic review. J Neurosurg [epub ahead of print April 27, 2018. DOI: 10.3171/2017.9.JNS17545]).

Trigeminal neuralgia (TN) has always been a disease of conflict from pathological and treatment perspectives. Despite advances in radiological imaging, evidence from autopsy studies, and intraoperative findings, concrete answers are still not in sight. A cafeteria approach ranging from conservative treatment (medications) through minimally invasive surgery (radiosurgery, radiofrequency ablation, etc.) to microvascular

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Correspondence Manjul Tripathi: drmanjultripathi@gmail.com.

INCLUDE WHEN CITING Published online June 29, 2018; DOI: 10.3171/2018.5.JNS181203.

Disclosures The author reports no conflict of interest.

© AANS, except where prohibited by US copyright law.




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