we think that microvascular decompression ( mvd ) should be the first operation considered for trigeminal neuralgia , but we bcr as the procedure of choice in the aged and medically infirm , especially when v1 pain is present , in patients with multiple sclerosis , for recurrences after other procedures , and in virtually any situation in which mvd is , for some reason , not feasible .
C0543467
operation
C0184661
procedure