Trigeminal Nerve Treatment

1. Medications:

Initial stage of treatment is drug therapy for one or two months. The effectiveness of drugs in controlling the pain can help clinical diagnosis.
But medications can only be a temporary solution, not a permanent cure for the true cause of trigeminal neuralgia that is: external factors compressing on the nerve and make it short-circuit.

Generally doctor will consider medications for

  1. Its effective pain control
  2. Without intolerable side effects to patients: sleepy and drowsiness, nausea and vomiting, etc.
  3. Patient do not want procedure or surgery
  4. iv) Patient are not suitable for procedure or surgery

Commonly used drugs include:

  • Antiepileptic drugs
  • Pain medication
  • Antidepressants
  • Muscle relaxants

2. Interventional Procedures:

  • Trigeminal nerve injection therapy
  • Semilunar ganglion injection of alcohol treatment
  • Semilunar ganglion radio-frequency electrocoagulation therapy
  • Balloon pressure for semilunar ganglion compression

3. Microsurgery

Microvascular decompression of trigeminal nerve:

  • Nowadays the most commonly used and effective treatment for trigeminal neuralgia
  • Under microscope, neurosurgeon will separate the blood vessels from compressing the trigeminal nerve, thus removing the origin of short-circuit that cause pain.
  • Operation required general anesthesia
  • Wound, of few cm long, is mainly behind the ears and the hair line.

4. Radiosurgery

  • Cyberknife radiosurgery for those patients who are not suitable for procedure or surgery

If delaying treatment, what would be the consequences?

  • Prolonged pressure on the nerve will cause irreversible diseased changes at nerve, thus reduce the cure rates of microsurgery.
  • Social issues: trigeminal neuralgia may make patients unable to carry out normal social interaction and daily activities.
  • Emotional disturbances: chronic pain can lead to depression and suicidal thoughts.

How to determine if they are suffering from trigeminal neuralgia?

Before any invasive procedure or surgery, you should seek professional advice:

  • Dentists
  • Neurosurgeons
trigeminal nerve surgery
trigeminal nerve surgery
trigeminal nerve surgery
trigeminal nerve surgery