SURGICAL OPTIONS MOST USED TODAY ARE:
Percutaneous micro-compression of Gasser’s ganglion: mechanical compression, to a sedated patient, of Gasser’s ganglion by a Fogarty balloon catheter. It has a good chance of success but the duration of the benefit does not exceed 6-8 months.
Microsurgical neurovascular decompression: It is a highly invasive surgical technique that requires an occipital craniotomy to reach a supposed cerebellar artery loop at the base of the skull, up to 14-17 cm. This type of surgery is rarely successful and risks further, more serious complications.
Radiofrequency of Gasser’s ganglion: a needle enters the Gasser’s ganglion and sends a radio frequency current by means of a generator, at a temperature which can cause a thermal injury in the ganglion. It can give a good result knowing how to measure the temperature, duration, and location; otherwise, pain, insensibility and incurable burns may result.