Trigeminal Neuralgia

TRIGEMINAL NEURALGIA

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Overview


Is a pain condition affecting the trigeminal nerve, which carries sensation from your face to the brain. It is more common in those over the age of 50 but can happen in younger patients. It is also more common in women. There are several causes of trigeminal neuralgia including contact between the nerve and a blood vessel. Rarely conditions such as multiple sclerosis (MS) or a tumour may be the cause and therefore an MRI should be done. The pain is described as shooting or electric shock type and is commonly triggered on waiting, talking or touch. There are several treatment options available including oral, injections and surgical options.

Symptoms & Diagnosis


The pain is often on one side of the jaw or cheek and can be triggered by eating, talking, brushing teeth or cool breeze it may also affect the forehead. Rarely it may affect both sides of the face. Occasionally a flare up can start with tingling or numbness in the area. The facial pain can last from a few seconds to minutes and described as an electric shock pain, stabbing, and burning. There is normally an absence of pain between flashes (refractory period). The pain can flare up for a few weeks or months. Imaging of the brain and trigeminal nerve for example may be suggested. 

Treatments & Key Areas We Specialise In


  • Treatment

    There are a variety of treatment options. These include oral treatments for example antiepileptic and antidepressants. Botox can also be an option. When medical options have failed surgery may be considered, including radiofrequency ablation and microvascular decompression and neurolysis.  

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