• Corpus ID: 20544876

[Treatment of typical trigeminus neuralgias. Overview of the current state of drug and surgical therapy].

@article{Mbius1984TreatmentOT,
  title={[Treatment of typical trigeminus neuralgias. Overview of the current state of drug and surgical therapy].},
  author={Eckhard M{\"o}bius and H. C. Leopold and Walter Paulus},
  journal={Fortschritte der Medizin},
  year={1984},
  volume={102 38},
  pages={
          935-9
        }
}
Carbamazepine continues to be the most useful drug in the treatment of trigeminal neuralgia. Diphenylhydantoin may be given in addition to or instead of Carbamazepine. Refractory cases may benefit from combination with Baclofen or Chlorphenesin. In cases of persistent pain the concomitant use of tricyclic antidepressant drugs is recommended. If pain continues in spite of multiple medical therapies or if serious side effects develop, then surgical procedures such as percutaneous controlled… 
1 Citations
Choice of open or percutaneous procedures in the surgical treatment of trigeminal neuralgia
TLDR
The diatribe between the supporters of percutaneous techniques and MVD can be concluded with the following: percutaenous techniques are indicated for patients without demonstrated NVC and in those with NVC if MVD is contraindicated by ill-health or refused by the informed patient.