Trigeminal neuralgia: a plea for microvascular decompression as the first surgical option. Anatomy should prevail

摘要

Arguments are given to plead why micro-vascular decompression should be the first surgical option to treat primary trigeminal neuralgias resistant to anticonvulsants. Keywords Trigeminal neuralgia - Vascular compression - Microvascular decompression - Percutaneous techniques - Radiosurgery - Pain