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¹Sultan Abdulhamid Eğitim ve Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, Üsküdar, İstanbul, Türkiye
²Ufuk Üniversitesi Tıp Fakültesi, Nöroloji Kliniği, Yenimahalle, Ankara, Türkiye
³Nörospinal Merkez, Neorama İş Merkezi, Yenimahalle, Ankara, Türkiye Trigeminal neuralgia is most frequent facial pain syndrome. Microvascular decompression is a quite effective procedure for the treatment of trigeminal neuralgia. In the non-surgical treatment of trigeminal neuralgia, excision of the gasserian ganglion, alcohol injection into the Meckel"s cave, percutaneous coagulation of the gasserian ganglion, and destruction of the gasserian ganglion by balloon catheter application are the procedures used. Pain control can be possible for a while with these procedures but microvascular decompression is the best method for permanent pain control. Superior cerebellar artery compression of the trigeminal nerve is most frequently seen, but less frequently the reason can be vein compression or both vein and artery combined compression. Microvascular decompression can provide 90% pain control in the long term if the appropriate surgical technique is used. Anahtar Kelimeler : Neuralgia, Trigeminal, Microvascular decompression