Rhizotomy of the ganglion gasseri

If microvascular decompression is not appropriate or not desired in the case of trigeminal neuralgia or trigeminal neuropathy (e.g. due to demyelination in the area of the brain stem in the case of MS), this procedure is available.

Treatment

In a short procedure lasting about 30 minutes under anesthesia, a needle is inserted from the oral cavity to the base of the skull. A balloon is inserted into the “Cavum Meckeli” through a small natural opening (“Foramen ovale”). This is where the ganglion gasseri is located, in which the trigeminal nerve divides into its three branches. By compressing this ganglion with the balloon at 1.5 bar for 2-3 minutes, targeted destruction of the pain-conducting fibers in this nerve can be achieved.

The chances are also very good and are around 80% after 5 years. The operational risks are low. However, it is a procedure in which nerve structures are specifically destroyed. The most important risk is temporary or rarely even permanent facial numbness.

Responsible senior physician

Lennart Stieglitz, Prof. Dr. med.

Senior Physician, Vice Director of Department, Department of Neurosurgery

Tel. +41 44 255 99 05
Specialties: Functional neurosurgery, Intraoperative imaging and computer-assisted neurosurgery, Movement disorders

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