Trigeminal Neuralgia

Trigeminal Neuralgia | Comprehensive Pain Management CEnter

Trigeminal Neuralgia

 

Trigeminal Neuralgia (TN), a disease described by sudden, stabbing pain on one side of the face,

is one of the most common causes of face pain. Vibrations or contact with the face may intensify

pain associated with TN. Outbreaks of pain commonly last several seconds to minutes and repeat

over the following hours and/or weeks. The outbreaks of pain will then stop for months to years

before starting again, usually worsening over time. Compression of the trigeminal nerve root,

typically by the intercranial artery, is the usual source of trigeminal neuralgia. It may be difficult

to diagnose TN.

Trigeminal neuralgia is diagnosed based on the characteristics of the pain. Radiographic imaging

may be used based on the physician’s clinical findings. Differential diagnoses include post

herpetic pain and migraine pain.

Treatments

  • Anti-inflammatories
  • Anticonvulsant
  • Antidepressants
  • Peripheral nerve stimulation
  • Microvascular decompression
  • Balloon compression
  • Gamma knife radiosurgery
  • Peripheral neurectomy
  • Chemical rhizotomy
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