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A 33-year-old member asked:

What surgery for trigeminal neuralgia is the best?

2 doctor answers7 doctors weighed in
Dr. Chaim Colen
Neurosurgery 19 years experience
MVD: Microvascular decompression to separate the nerve from the vascular structure (usually an artery or vein) pressing on it.
Dr. David Lundin
Neurosurgery 27 years experience
This is assuming your Tic is not rested to Multiple sclerosis and your health is good enough to tolerate a craniotomy.
Apr 8, 2013
Dr. Adam Hebb
Neurosurgery 21 years experience
Consultation: Deciding the best surgery requires a careful surgical consultation including a high quality mri. Microvascular decompression, gamma knife radio surgery, balloon microcompression, and radio frequency gangliorhyzolysis are all good options.

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Similar questions

A 21-year-old member asked:

Who is a candidate for trigeminal neuralgia surgery?

2 doctor answers5 doctors weighed in
Dr. Philip Rosenblum
Family Medicine 28 years experience
People with bad pain: Anybody could be a candidate for surgery based on the intensity of their pain, but the surgery is risky and somewhat drastic. A patient should try all other approaches to treatment of their symptoms before choosing surgery. The surgery involves cutting the pain fibers from your face, which means you don't feel pain and that is risky long term. You can also have damage to other nerves in your face.
A 25-year-old member asked:

What's the best surgery for trigeminal neuralgia?

3 doctor answers6 doctors weighed in
Dr. Roger Frankel
Neurosurgery 29 years experience
MVD: Microvascular decompression is an open surgery that involves placing a spongelike material between the trigeminal nerve and a blood vessel pressing on this. This has the best long term outcome. Almost as effective is stereotactic radiosurgery (one well known type is called gamma knife).
Dr. Stephen Rodrigues
A Verified Doctor commented
A US doctor answered Learn more
I totally disagree in the first few years of management!!!! TN is a type of facial pain. TN overlap with myofascial patterns. DON'T WAIT to start care the pain can make you wish you were dead! Think flesh/tissue and not nerves for face pain! Begin a self-care Wellness Program of Vits, Magnesium glycinate, sleep hygiene, self/pro Massage, chiropractor, heat, Epsom soaking, stretching. I use acupuncture!
Sep 9, 2012
Dr. Stephen Rodrigues
A Verified Doctor commented
A US doctor answered Learn more
Once the pain has cause your life to be put on hold ... you will developed mental trauma and that leads to PTSD. Much more complex to treat and be cured if this problem overlaps the pain issue.
Sep 9, 2012
Dr. Roger Frankel
Neurosurgery 29 years experience
Provided original answer
Trigeminal neuralgia is a nerve problem that causes facial pain. It is not myofascial in nature and is not treated that way. Nonsurgical treatments include various medications that fall into the category of anti-epileptic medications. If these meds are not effective, surgery or radiosurgery can be considered. Wellness programs may be useful for general health but will not help true trigeminal neuralgia. Consult a neurologist and/or neurosurgeon for definitive diagnosis and treatment.
Sep 10, 2012
Owensville, IN
A 62-year-old female asked:

What is the best procudure for trigeminal neuralgia ?

3 doctor answers5 doctors weighed in
Dr. Bennett Machanic
Neurology 52 years experience
COMPLEX: There are several surgical approaches, but success may be dependent on whether there is vascular or bony compression of the trigeminal nerve at the base of the brain. This is a relatively safe procedure these days. Medical treatment may work, and many choices exist. I have had success with lyrica, (pregabalin) cymbalta, oxcarbezine, gabapentin, baclofen, and sporadically, patches of Butrans or fentanyl.
A 30-year-old member asked:

What procedures or surgeries are there to treat trigeminal neuralgia?

2 doctor answers5 doctors weighed in
Dr. Larry Armstrong
Neurosurgery 27 years experience
Multiple: The most common procedures performed for trigeminal neuralgia are gamma knife radiation to the ganglion region, percutaneous rhizotomy with electrical current, and decompression surgery. Other treatments are used but these are some of the most common.
A 30-year-old member asked:

Will i need surgery to remove trigeminal neuralgia?

4 doctor answers13 doctors weighed in
Dr. George Arcos
Pain Management 38 years experience
Options: The first treatments for trigeminal neuralgia is usually lyrica, (pregabalin) gabapentin, Cymbalta or elavil. Nerve blocks can be tried to branches of the trigeminal that are sensitive , or the gasserian ganglion. Surgical treatments are a last resort, and include microvasular decompression and gamma knife surgery.
Dr. David Rosenfeld
Pain Management 27 years experience
Surgery is the last resort.
Apr 29, 2017
Last updated Mar 31, 2015


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