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TRIGEMINAL NEURALGIA

Trigeminal Neuralgia2022-08-25T12:38:11-04:00

Trigeminal Neuralgia, also called tic douloureux, is a rare disorder that causes recurring episodes of sharp, shooting facial pain, usually on one side of the jaw or cheek. Episodes can be severe and unpredictable, and they can last a few seconds or up to a few minutes.

At CentraState Medical Center, patients have access to the gold standard treatment for trigeminal neuralgia: microvascular decompression (MVD) surgery.

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Causes of Trigeminal Neuralgia

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Trigeminal neuralgia is caused by irritation of the trigeminal nerve, one of the 12 pairs of cranial nerves that exit directly from the brain. The condition is often the result of a blood vessel pressing down on the nerve, which can happen naturally with age. Much less frequently, trigeminal nerve pain is related to conditions such as:

  • Multiple sclerosis or other disorders that cause damage to the myelin sheath that covers certain nerves
  • A tumor compressing the trigeminal nerve
  • Injury to the trigeminal nerve

Trigeminal neuralgia most often occurs in people over age 50, but it can happen at any age. It’s more common in women than in men. Trigeminal nerve pain can strike for days, weeks, or months at a time and then go away for months or years before returning.

Diagnosis and Treatment

Trigeminal neuralgia can be challenging to diagnose because of the many causes of facial pain. Your physician may order imaging tests, such as magnetic resonance imaging (MRI), CT scans, or X-rays, to help rule out other causes of pain.

Pain medication is the first treatment option for trigeminal neuralgia. Complementary therapies such as biofeedback, acupuncture, and electrical nerve stimulation may also help. If these therapies fail to provide adequate pain relief or cause unwanted side effects, then trigeminal neuralgia surgery may be an option. The most effective procedure is microvascular decompression (MVD), which has been shown to relieve pain for most patients.

Microvascular Decompression Surgery

During microvascular decompression, a neurosurgeon uses advanced microscopes and surgical tools to gently move the blood vessel causing irritation to the trigeminal nerve. A few soft, customized pads hold the blood vessel away from the nerve to prevent future irritation.

The procedure is performed using small incisions and minimally invasive techniques, and the majority of patients are back to most normal activities within days.

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Neurologists

Ronald Benitez, MD

Ronald Benitez, MD

Neurosurgery

Amos Katz, M.D.

Amos Katz, M.D.

MS Center, Neurology

Caren Marks, M.D.

Caren Marks, M.D.

MS Center, Neurology

Paul Kostoulakos, DO PK

Paul Kostoulakos, DO

Neurology

Susan Lage, D.O. SL

Susan Lage, D.O.

Neurology

Pinakin Jethwa, MD

Pinakin Jethwa, MD

Neurosurgery

Megdad Zaatreh, M.D.

Megdad Zaatreh, M.D.

Epileptologist, Neurology

Kyle Chapple, MD

Kyle Chapple, MD

Neurosurgery

Vasko Gulevski, M.D. VG

Vasko Gulevski, M.D.

Neurology

Jia Zhen Cheng, MD

Jia Zhen Cheng, MD

Neurology

James Ware, M.D.

James Ware, M.D.

Neurology

Rajat Kumar, M.D. RK

Rajat Kumar, M.D.

Neurology

Arun Nangia, M.D. AN

Arun Nangia, M.D.

Neurology

David Estin, M.D.

David Estin, M.D.

Neurosurgery

David Frank, M.D.

David Frank, M.D.

Neurology

Nirav K. Shah, M. D.

Nirav K. Shah, M. D.

Neurosurgery

Terence McAlarney, M.D. TM

Terence McAlarney, M.D.

MS Center, Neurology

Matthew Tormenti, M. D.

Matthew Tormenti, M. D.

Neurosurgery

Shamik Chakraborty, MD

Shamik Chakraborty, MD

Neurosurgery, Spine Surgery

James Barrese, MD

James Barrese, MD

Neurosurgery

David Wells Roth, MD

David Wells Roth, MD

Neurosurgery

Boris Furman, D.O. BF

Boris Furman, D.O.

Neurology

Seth Joseffer, M.D.

Seth Joseffer, M.D.

Neurosurgery

Mark McLaughlin, M.D.

Mark McLaughlin, M.D.

Neurosurgery

Richard Meagher, MD

Richard Meagher, MD

Neurosurgery

Amor Mehta, MD AM

Amor Mehta, MD

Epileptologist, Neurology

Rajat Kumar, M.D. RK

Rajat Kumar, M.D.

Neurology

Robert Aiken, MD

Robert Aiken, MD

Neurology

Imran Khan, MD

Imran Khan, MD

Neurology

Maria Choy, M.D. MC

Maria Choy, M.D.

Neurology

Jonathan Lustgarten, M.D.

Jonathan Lustgarten, M.D.

Neurosurgery

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