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Stereotactic trigeminal nucleotractotomy for treatment of atypical facial pain The functional and morphologic peculiarities of the face justify the occurrence of varied sources of pain. The trigeminal nucleotractotomy consists in a surgical lesion of secundary trigeminal nuclei and tracts. Two cases of atypical facial pain refractory to clinical treatments are discussed. The intensity of pain was evaluated by the Visual Analogic Scale. The surgical technique is described. The immediate results were satisfactory. One patient developed recurrent pain two months later, and the other was asymptomatic for eight months. One patient presented transitory ataxia and the other developed bacterial meningitis. The physiopathological basis of this procedure is discussed .

Nucleotratotomia trigeminal estereotáxica no tratamento da dor facial atípica