Do you treat bilateral trigeminal neuralgia with SRS?
If you do treat both nerve roots, how long do you wait between fractions? Do you modify anything because you are treating bilaterally?
Answer from: Radiation Oncologist at Academic Institution
Yes, but I treat the side with more severe symptoms first and treat the other side 6 months later. I do not make dose modifications. I have treated some patients with bilateral trigeminal neuralgia in this fashion with no issues.