Patient’s question: disease: cholesteatoma Description: trigeminal neuralgia began six months ago, half a month ago a sudden acute heart attack, thrombolysis angiography showed a successful, after the infusion of drugs to consolidate, near the time of discharge feeling head discomfort, CT and head perfusion MRI shows brain infarction, hydrocephalus and brain cholesteatoma Hope to provide help: first, the current situation can be operated, second, the risk of surgery third, the general cost, how much to prepare in advance What is the cost? Doctor’s reply: Epidermoid cysts in the pontocerebellar horn, also known as cholesteatoma, are a common cause of secondary trigeminal neuralgia and may be on one or both sides. It should be treated with elective surgery. However, as you are in the subacute stage after the heart attack, it is not suitable to choose surgery at this time. It is recommended that a cardiac angiogram be performed to understand the degree of coronary stenosis and the need for stenting. Surgery for secondary trigeminal neuralgia can be considered after at least six months of coronary stenosis stabilization. Anticoagulation or anti-platelet aggregation medication must be stopped for one week before surgery. At that time, please see your neurosurgeon for further information about the risk factors associated with this procedure and its efficacy.