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NEUROLOGY 2004;63:1714-1715
© 2004 American Academy of Neurology
Brief Communications

Treatment of trigeminal neuralgia associated with multiple sclerosis

Case report

D. Rasche, MD, B. Kress, MD, C. Schwark, MD, C. R. Wirtz, PhD, A. Unterberg, PhD and V. M. Tronnier, PhD

From the Departments of Neurosurgery (Drs. Rasche, Wirtz, Unterberg, and Tronnier), Neurology (Dr. Schwark), and Clinical Neuroradiology (Dr. Kress), University of Heidelberg, Germany.

Address correspondence and reprint requests to Dr. Dirk Rasche, Department of Neurosurgery, University of Heidelberg, Im Neuenheimer Feld 400, 69120 Heidelberg, Germany; e-mail: dirk.rasche{at}med.uni-heidelberg.de

The incidence of trigeminal neuralgia (TN) in patients with multiple sclerosis is higher than in the general population. If pharmacologic therapy fails, invasive procedures in the gasserian ganglion are usually offered. Microvascular decompression is not routinely performed. The authors report a patient with persistent TN after repetitive trigeminal radiofrequency rhizotomy and finally successful microvascular decompression after demonstration of neurovascular compression with high-resolution MRI.

Received May 13, 2004. Accepted in final form June 22, 2004.






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