Successful trigeminal thermocoagulation for paroxysmal trigeminal neuralgia in a patient with severe haemophilia.

Neurosurgical procedures in patients with severe haemophilia carry a major risk of bleeding. We describe successful thermocoagulation of the trigeminal nerve for neuralgia in a severe haemophiliac, under cover of factor VIII concentrate. This is the first case report of such an operation in severe haemophilia.