5 doctors weighed in:

Are there any effective treatments for trigeminal neuralgia?

5 doctors weighed in
Dr. Jeffrey Cohen
Neurology
2 doctors agree

In brief: Yes

Antiseizure medications are first line.
There are also miscellaneous brain drugs that may work. Important to balance pain relieving dose vs. Potential side effects. Microvascular decompression highly effective. Can try gamma knife surgery, as well as nerve destructive procedures. Important to find a doctor well versed in these treatments.

In brief: Yes

Antiseizure medications are first line.
There are also miscellaneous brain drugs that may work. Important to balance pain relieving dose vs. Potential side effects. Microvascular decompression highly effective. Can try gamma knife surgery, as well as nerve destructive procedures. Important to find a doctor well versed in these treatments.
Dr. Jeffrey Cohen
Dr. Jeffrey Cohen
Thank
Dr. David Benglis
Neurosurgery

In brief: Trigeminal neuralgia

Yes, nonsurgical with medications, minimally invasive or radiation versus open surgery.
All have pluses and minuses. See a neurosurgeon.

In brief: Trigeminal neuralgia

Yes, nonsurgical with medications, minimally invasive or radiation versus open surgery.
All have pluses and minuses. See a neurosurgeon.
Dr. David Benglis
Dr. David Benglis
Thank
2 comments
Dr. Adam Hebb
The safest treatment is medication, usually with a class of medications that also treats epilepsy. Carbamazepine is a classic medication for trigeminal neuralgia, but there are several others. Surgical treatments include decompressive (microvascular decompression), or nerve-damaging (gamma knife, gangliorhyzolysis). The surgical procedures are very successful for classical forms of trigeminal neuralgia.
Dr. David Benglis
Agree with Dr. Hebb.
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