Trigeminal neuralgia is known as the “world’s first pain”, and is the most common neurological disease of the brain, with sudden onset, intense with excitation points, no signs before the onset, sudden onset of severe pain in the distribution area of the trigeminal nerve, generally the maxillary and mandibular branches are more common, the eye branch is less common, the pain is like electric shock, knife, needle-like, throbbing pain, throbbing pain, corner of the mouth tilt, each time Each attack lasts for a few seconds to 1-2 minutes, with repeated attacks and severe pain, accompanied by lacrimation and conjunctival congestion, etc. As the disease develops, the attacks become more frequent, the interval will be shortened, and the pain becomes more severe and intense, so that the patient is depressed and even in pain. Her left facial pain for 6 years, afraid to open her mouth, afraid to brush her teeth, afraid to eat 83-year-old Zhang Daniang, was tormented by the left facial nasal and upper edge of the lips pain for 6 years, the onset of the initial only occasionally left facial nasal pain, and did not care, after a period of time the pain range is getting larger and more frequent attacks, the left facial nose and lips have severe electric shock-like pain, pain time from In order to further clarify the cause, she went to the hospital and was diagnosed with trigeminal neuralgia. Initially, after taking oral carbamazepine medication, the facial pain was relieved. However, since September this year, if she accidentally touched the corner of her mouth, her nose would become painful, causing Zhang Danyang to eat, drink and brush her teeth carefully, afraid of touching any “organ” as well. In order to relieve the pain, the dosage of carbamazepine was increased from 2 tablets a day to 6 tablets a day, but the pain still did not improve effectively, often affecting the quality of sleep due to facial pain, causing sleep disturbances and affecting her normal life. The facial pain for nearly 3 months made her painful and afraid to speak loudly and touch ….. In order to completely solve the facial pain, she sought help from Professor Ma Jiuhong of the Functional Brain Disease Expert Group of the Department of Neurosurgery of Shanxi Provincial People’s Hospital, and was diagnosed with primary trigeminal neuralgia after detailed medical history and previous examination results. However, considering the age of the patient, who is 83 years old, it is risky to choose microvascular decompression surgery. It is recommended to choose another treatment method to relieve pain, which is microballoon compression surgery. Trigeminal neuralgia attacks in octogenarians can be solved without craniotomy Family members and patients chose microballoon compression surgery for trigeminal neuralgia through careful consideration, and after preoperative examination, the patient’s physical condition could be treated with microballoon compression surgery. Therefore, on December 10, the patient was operated by Professor Ma Jiuhong, a specialist group of functional cerebral diseases in the Department of Neurosurgery of Shanxi Provincial People’s Hospital. During the operation, the patient’s left corner of the mouth was punctured, and under the fluoroscopic view of the angiography machine, the oval hole was punctured smoothly, the balloon shape was satisfactory, the pressure was 0.7 ml, and the compression time was 2 and a half minutes. Considering the patient’s age and long pain time, the balloon was withdrawn after another 30s of pressure, so that the trigeminal The nerve fibers were inactivated to achieve the purpose of radical treatment, and the surgical incision could be protected with a band-aid after surgery. At present, she is close to 20 days after the surgery and said excitedly, “After the surgery, the pain in my face disappeared and I have not experienced any pain until now, and I can finally eat and talk normally…” She can finally eat and talk normally…” She has returned to her long-awaited normal life pattern and can spend her old age happily.