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Die Mikrovaskul\u00e4re Dekompression (MVD) ist die einzige kausale Therapie der TGN, die insbesondere im Falle der klassischen TGN auf Grund eines nachgewiesenen Gef\u00e4\u00df-Nerven-Konflikts in Frage kommt. Zu den ablativen Verfahren geh\u00f6ren, neben den perkutanen, auch radiochirurgische Methoden, die vor allem bei der idiopathischen Trigeminusneuralgie zum Einsatz kommen. Bei irreversiblen Neuropathien des Nervus trigeminus gilt der Therapiealgorithmus anderer neuropathischer Schmerzen und gegebenenfalls der Einsatz neuromodulativer Verfahren. F\u00fcr die Auswahl der Therapie m\u00fcssen die Diagnose, die Nebenwirkungen der Medikamente und die individuellen Risiken der Patienten neben den Behandlungsergebnissen ber\u00fccksichtigt werden (siehe aktuelle S1\u00a0Leitlinie der Deutschen Gesellschaft f\u00fcr Neurologie).<\/jats:p>","DOI":"10.1007\/s00482-024-00835-9","type":"journal-article","created":{"date-parts":[[2024,10,17]],"date-time":"2024-10-17T12:03:10Z","timestamp":1729166590000},"page":"441-448","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Operative Behandlung der Trigeminusneuralgie","Surgical treatment of trigeminal pain"],"prefix":"10.1007","volume":"38","author":[{"given":"Rezvan","family":"Ahmadi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Volker Martin","family":"Tronnier","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,10,17]]},"reference":[{"key":"835_CR1","doi-asserted-by":"publisher","first-page":"201","DOI":"10.1136\/bmj.39085.614792.BE","volume":"334","author":"L Bennetto","year":"2007","unstructured":"Bennetto\u00a0L, Patel\u00a0NK, Fuller\u00a0G (2007) Trigeminal neuralgia and its management. 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