Would you recommend upfront radiosurgery for trigeminal neuralgia caused by AVM abutment at the entry root zone?

Radiosurgery (SRS) at high doses to the dorsal nerve root entry zone is an effective treatment modality for primary or idiopathic trigeminal neuralgia (TN), but is significantly less efficacious when utilized for secondary trigeminal neuralgia, as caused by tumors, plaques, AVMs, etc. There are case...

I believe the optimal treatment regimen in this complex clinical situation requires reflection on the nuances not just of available treatments for trigeminal neuralgia and arteriovenous malformation but also the relative risks of each. In addition to managing the patient's pain, important considerat...

I concur with Dr. @Dr. First Last. The beauty of this approach, treating the AVM and not the REZ of the 5th nerve, is that the dose of RT needed to occlude an AVM is much smaller (usually 18-21Gy) than the dose necessary to achieve remission of pain from primary Trigeminal Neuralgia (usually 90 Gy t...