Jannetta procedure by Dr. A. Lukes to control the "suicide disease," so named because the pain is intense, considered the worst form known. Here is neurosurgical relief. "Trigeminal neuralgia can be caused by a vessel loop nearby the entry zone of the trigeminal nerve at the brainstem. a vessel loop is mobilized and transposed and secured with a teflon paddy. The paddy is fixed with tissucol , a fibrin glue without evident neurotoxicity. The long term result of the jannetta procedure regarding pain control is excellent."