Several options exist for the treatment of trigeminal neuralgia. Medical therapy with carbamazepine, phenytoin and more recently gabapentin has provided good first line treatment. Microvascular decompression, glycerol rhizotomy, radiofrequency rhizotomy, and nerve section have proven effective surgical options. Gamma knife radiosurgery has in recent years become the treatment of choice for people unresponsive to medical therapy. Recent advances in imaging and increased experience with its use, have underscored the importance of gamma knife as a treatment for trigeminal neuralgia .
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