Management of trigeminal neuralgia

Aim: to determine the efficacy and achievement of better results by applying different modalities of management,depending upon the anatomical structures involvement. methods: this descriptive study included 20 patients of trigeminal neuralgia. this study was carried out at department of neurosurgery,hayatabad medical complex,peshawar from august 2012 to august 2013. all patients either sex,age between 35 to 65 years were included. those patients have 18 to 30 years were excluded. results: there were 15 males and 5 females patients of trigeminal neuralgia. recurrence rate is higher in patients with multiple sclerosis 50%. at the end of follow-up,excellent outcome was obtained in 10 patients,good outcomes were obtained in 5 patients and also 5 patients were recorded as fair outcomes respectively. overall success rate was 100%. conclusion: knowledge of its anatomic course allows an understanding of disorders involving the brainstem and adjacent skull base. variety of conditions may involve the different segments of the trigeminal nerve.