Trigeminal Neuralgia: From Neural Storms to Radiosurgical Calm

December 11, 2025

Join us for an insightful webinar designed for clinicians, researchers and professionals interested in the evolving landscape of functional radiosurgery and trigeminal pain syndromes. This session will delve into the physics underpinning advanced radiosurgical techniques, present practical, evidence-based algorithms for managing complex trigeminal pain and illuminate the transition from focal lesions to intricate neural networks. We will also explore the latest in imaging biomarkers and provide expert guidance on when to choose vessel manipulation versus circuit modulation. Whether you are seeking to refine your clinical decision-making or stay abreast of cutting-edge research, this webinar promises to deliver valuable knowledge and practical tools for improving outcomes in patients with challenging neuralgic conditions.

  1. Sub-Millimetric Physics in Functional Radiosurgery: Understand how beam geometry, gradient control and dose distribution influence efficacy and safety when modulating neural circuits, particularly in small-volume functional targets.
  2. A Practical Algorithm for Trigeminal Pain due to Different Aetiologies: Learn a clinically intuitive, evidence-based decision pathway to manage arterial, venous, dual, secondary and central pain phenotypes across diverse patient populations.
  3. From Lesions to Networks: Modern Trigeminal Neuralgia Biology: Explore how trigeminal pain evolves from focal vascular compression into a distributed central network involving thalamic, limbic and cortical components.
  4. When to Move Vessels — When to Modulate Circuits: Differentiate surgical and radiosurgical indications and understand how disease duration, conflict severity and plasticity guide treatment selection.
  5. Imaging Biomarkers for Predicting Radiosurgical Response: Review emerging diffusion, grey-matter and network-based signatures that stratify responders and support more precise patient selection.
Shankar Vangipuram

Presenter: Shankar Vangipuram, M.D., DNB

Consultant Radiation Oncologist, Apollo Cancer Institute – Chennai, India

Dr. Shankar Vangipuram is a highly respected Radiation Oncologist with over 20 years of experience in cancer care. He currently serves as a Consultant at Apollo Cancer Institute, Chennai, where he specializes in high-precision radiation therapies.

He holds both an MD and DNB in Radiation Therapy and has completed fellowship in Radiosurgery from UPMC (Pittsburgh). His expertise spans a wide range of treatments including:

  • External Beam Radiation Therapy
  • Brachytherapy
  • CyberKnife® System Radiosurgery
  • Functional Radiosurgery for conditions like trigeminal neuralgia

Dr. Vangipuram is known for his compassionate approach and commitment to personalized care. He actively contributes to the oncology community through seminars, workshops and research, and is fluent in multiple languages including English, Hindi, Telugu and Tamil.

headshot of Alfredo Conti

Moderator: Alfredo Conti, M.D., Ph.D., FEBNS 

Associate Professor of Neurosurgery, Chairman Residency School of Neurosurgery , Alma Mater Studiorum University of Bologna​, IRCCS Institute of Neurological Sciences of Bologna​, Italy

Prof. Conti, a distinguished neurosurgeon, studied at “A. Corelli” Conservatory and “G. La Farina” in Messina, Italy, graduating in Medicine with honors in 1997 and completing his residency in 2002. He has held various academic positions, including Associate Professor at the University of Messina and Bologna, and Visiting Professor at Charité in Berlin. He has extensive training abroad, including CyberKnife radiosurgery in California, and has authored over 230 Scopus-indexed publications. Prof. Conti has received numerous prestigious awards and holds a patent. His clinical activity includes participation in over 3000 surgical interventions, specializing in functional and neuro-oncological neurosurgery.