Partial sensory rhizotomy in therapy-refractory and recurrent trigeminal neuralgia – a single center experience - Takeaways - MDSpire

Partial sensory rhizotomy in therapy-refractory and recurrent trigeminal neuralgia – a single center experience

  • By

  • Ina Lange

  • Ehab El Refaee

  • Marc Matthes

  • Henry W. S. Schroeder

  • Jörg Baldauf

  • February 18, 2026

  • 0 min

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  • 1

    Trigeminal neuralgia (TN) is a common chronic pain syndrome characterized by severe, one-sided facial pain triggered by everyday activities.

  • 2

    Partial sensory rhizotomy (PSR) is considered for therapy-refractory TN when other treatments, including microvascular decompression, fail.

  • 3

    PSR has a higher complication rate and lower patient satisfaction compared to microvascular decompression, with a 10-20% treatment failure rate.

  • 4

    The study reviewed patients treated with PSR from 2004 to 2023, focusing on those with no evidence of neurovascular compression.

  • 5

    Intraoperative neuromonitoring and endoscopic inspection are crucial for identifying trigeminal nerve fibers during PSR.

Original Source(s)

Partial sensory rhizotomy in therapy-refractory and recurrent trigeminal neuralgia – a single center experience

  • by Ina Lange, Ehab El Refaee, Marc Matthes, Henry W. S. Schroeder, Jörg Baldauf

  • February 18, 2026

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