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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PollockBESchoeberlKA: Prospective comparison of posterior fossa exploration and stereotactic radiosurgery dorsal root entry zone target as primary surgery for patients with idiopathic trigeminal neuralgia. Neurosurgery67:633–6392010
RegisJTuleascaCResseguierNCarronRDonnetAGaudartJ: Long-term safety and efficacy of Gamma Knife surgery in classical trigeminal neuralgia: a 497-patient historical cohort study. J Neurosurg124:1079–10872016