Use of Cryoneurolysis Therapy for the Management of Idiopathic Trigeminal Neuralgia

Friday, November 14, 2025

5:11 PM - 5:19 PM CT

Location: 301 - 302

Introduction:

Trigeminal neuralgia (TN) is a debilitating condition characterized by recurrent, brief episodes of electric shock-like pain, primarily due to neurovascular compression of the trigeminal nerve root or tract. First-line treatment typically involves pharmacologic therapy, but surgical options are available. When surgery is contraindicated, minimally invasive alternatives are limited. We present a case of idiopathic TN that was successfully treated with percutaneous cryoneurolysis, highlighting its role as a safe, durable, and minimally invasive option.

Co-Author(s)

KG

Karina Gritsenko, MD

Program Director/Regional Anesthesia and Acute Pain Fellowship, Professor of Anesthesiology and PM&R
Montefiore Medical Center/Albert Einstein College of Medicine, United States
SO

Seung Oh, MD

Resident
Department of Anesthesiology, Montefiore Medical Center/Albert Einstein College of Medicine, United States
MZ

Mukhlisa Zakirova, MD

Resident
Department of Internal Medicine, Northwell Health, North Shore University Hospital Long Island Jewish Medical Center, United States
NO

Nicole Ortiz, MD

Pain Medicine Fellow
Department of Physical Medicine and Rehabilitation, Montefiore Medical Center/Albert Einstein College of Medicine, United States

Submitting Author(s)

JR

Jagun Raghavan, n/a

Undergraduate Student
The Ohio State University
Powell, Ohio, United States

Co-Author(s)

OV

Omar Viswanath, MD

Pain Mangement Physician
Mountain View Headache and Spine Institute, United States

Presenting Author(s)

SK

Sarang Koushik, MD

Anesthesiologist and Pain Management Physician
Mayo Clinic, Phoenix Arizona, United States

Co-Author(s)

NS

Naum Shaparin, MD, MBA

Professor and Vice Chair, Business Affairs/Director, Multidisciplinary Pain Program
Montefiore Medical Center/Albert Einstein College of Medicine, United States