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Vivantes Humboldt Hospital Berlin

9.7/10 from 23 Votes

An academic clinic of the university medical complex Charité, the Vivantes Humboldt Hospital is one of the largest specialized medical institutions in Berlin.

Diagnosis and conservative treatment of trigeminal neuralgia
7308
location_onCountry: Germany
location_searchingCity: Berlin

Academic Hospital Asklepios Barmbek Hamburg

9.5/10 from 23 Votes

As an Academic Hospital of the University of Hamburg, the Asklepios Barmbek Hospital offers a wide range of medical services in the field of conservative and surgical treatment. The hospital was opened in 2005 and today it is one of the best and modern medical centers in Europe.

Diagnosis and conservative treatment of trigeminal neuralgia
6788
location_onCountry: Germany
location_searchingCity: Hamburg

HELIOS Clinic Krefeld

9.7/10 from 38 Votes

Founded in 2014, the HELIOS Clinic Krefeld is one of the most modern medical facilities in Germany today. A team of highly qualified specialists, innovative medical equipment and comfortable accommodation conditions – the clinic has everything to make the treatment run smoothly and efficiently.

Trigeminal neuralgia diagnosis
1311
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
16713
location_onCountry: Germany
location_searchingCity: Krefeld

University Hospital Rechts der Isar of the Munich Technical University

10/10 from 70 Votes

The Rechts der Isar Hospital is the University Hospital of the Technical University of Munich. There is intensive cooperation between the research facilities of the TU and the hospital in numbers of areas.

Trigeminal neuralgia diagnosis
1489
Diagnosis and conservative treatment of trigeminal neuralgia
7401
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
20009
location_onCountry: Germany
location_searchingCity: Munich
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Vivantes Neukölln Hospital Berlin

10/10 from 23 Votes

The Vivantes Neukölln Hospital is the maximum care hospital and one of the largest healthcare facilities in Berlin.   There are more than 20 specialized departments and centers, including pediatric departments. In total, the hospital has 1,200 beds.

Trigeminal neuralgia diagnosis
1465
Diagnosis and conservative treatment of trigeminal neuralgia
7365
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
19795
location_onCountry: Germany
location_searchingCity: Berlin

Academic Hospital Bogenhausen Munich

9.2/10 from 43 Votes

With more than 36,000 patients annually and 1,000 beds, the Academic Hospital Bogenhausen is one of the largest clinics in Munich.

Trigeminal neuralgia diagnosis
1356
Diagnosis and conservative treatment of trigeminal neuralgia
6739
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
18061
location_onCountry: Germany
location_searchingCity: Munich

University Hospital Frankfurt am Main

10/10 from 97 Votes

The University Hospital Frankfurt is part of the Johann Wolfgang Goethe University Frankfurt am Main. The hospital was founded in 1914 and today it is a famous German medical institution with rich traditions. The hospital treats about 49,000 inpatients and 220,000 outpatients every year.

Trigeminal neuralgia diagnosis
1355
Diagnosis and conservative treatment of trigeminal neuralgia
6603
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
17851
location_onCountry: Germany
location_searchingCity: Frankfurt am Main
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Charite University Hospital Berlin

9/10 from 95 Votes

Being the medical school for both Humboldt University and Free University of Berlin and having a long experience, the Charite Hospital has gained wide recognition. It is regarded as one of the most research-intensive medical facilities in Germany and the largest university medical center in Europe.

Trigeminal neuralgia diagnosis
2013
Diagnosis and conservative treatment of trigeminal neuralgia
10318
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
27188
location_onCountry: Germany
location_searchingCity: Berlin
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Academic Hospital Schwabing Munich

8.5/10 from 7 Votes

The Schwabing Clinic is a modern medical facility with a high level of service. The clinic has high-tech modern equipment, making it one of the best hospitals not only in Germany but also in Europe. There are comfortable single and double rooms with shower and toilet, TV, telephone and radio.

Trigeminal neuralgia diagnosis
1301
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
16854
location_onCountry: Germany
location_searchingCity: Munich

Tel Aviv Sourasky Medical Center

9.9/10 from 23 Votes

The Tel Aviv Sourasky Medical Center (Ichilov) is the second largest and one of the most advanced healthcare and research institutions in Israel. Founded in 1961, it still enjoys popularity among the local population and draws thousands of international patients.

Trigeminal neuralgia diagnosis
0.00
Diagnosis and conservative treatment of trigeminal neuralgia
0.00
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
0.00
location_onCountry: Israel
location_searchingCity: Tel Aviv

University Hospital Cologne

9.8/10 from 82 Votes

The University Hospital Cologne is included in the Focus magazine rating of top German hospitals 2017 and offers patients first-class medical care meeting the latest medical advancements.

Trigeminal neuralgia diagnosis
1254
Diagnosis and conservative treatment of trigeminal neuralgia
6037
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
15592
location_onCountry: Germany
location_searchingCity: Cologne
certificatecertificatecertificate certificatecertificate

University Hospital Muenster

9.8/10 from 78 Votes

The University Hospital Muenster is one of the most respected multi-field medical centers in Germany. It consists of more than 30 departments and numerous research institutes and centers. Every year over 58,000 inpatients are treated here and nearly 475,000 patients receive medical care on the outpatient basis.

Trigeminal neuralgia diagnosis
1366
Diagnosis and conservative treatment of trigeminal neuralgia
6735
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
17803
location_onCountry: Germany
location_searchingCity: Muenster
certificatecertificatecertificatecertificate certificatecertificate

Rambam Health Care Campus Haifa

9.8/10 from 23 Votes

Rambam Health Care Campus is the largest and the most advanced hospital in Northern Israel. Founded in 1938, the medical center has a long history and a rich experience in providing comprehensive medical services in all medical specialties.

Trigeminal neuralgia diagnosis
0.00
Diagnosis and conservative treatment of trigeminal neuralgia
0.00
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
0.00
location_onCountry: Israel
location_searchingCity: Haifa

Academic Hospital Schlosspark Berlin

9.7/10 from 23 Votes

The Schlosspark Academic Teaching Hospital at the University Hospital Charite has an excellent reputation and an outstanding service. All specialized departments are headed by renowned doctors. The departments offer a wide range of medical services.

Diagnosis and conservative treatment of trigeminal neuralgia
6614
location_onCountry: Germany
location_searchingCity: Berlin

Vivantes Auguste-Viktoria Hospital Berlin

9.7/10 from 23 Votes

The Vivantes Auguste-Victoria Hospital, has special expertise and received international recognition in the field of Urology, especially in the treatment of prostate cancer and also Oncology, Neurology, Cardiology and other directions.

Diagnosis and conservative treatment of trigeminal neuralgia
7382
location_onCountry: Germany
location_searchingCity: Berlin

University Hospital for Neurosurgery Salzburg

9.6/10 from 39 Votes

University Clinic of Neurology specializes in the surgical treatment of acute and chronic diseases of the central and peripheral nervous system, its blood supply, and nerve sheaths, as well as in preoperative and postoperative care for patients.

Trigeminal neuralgia diagnosis
6398
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
35531
location_onCountry: Austria
location_searchingCity: Salzburg

About the disease

The first thing you need to know about trigeminal neuralgia is that it is a chronic pain disorder of the trigeminal nerve, which is responsible for facial movements involved in mastication and also for carrying sensations from the face to the brain. The trigeminal nerve, also known as the fifth cranial nerve, is responsible for chewing, biting and general processing of food. Trigeminal neuralgia does not control movements of the lips or facial expressions.

A person develops this disease if there is a paucity of myelin, which is a substance surrounding the nerves. Trigeminal neuralgia is considered to be a rare disease with 1 patient having it out of 30,000 people. It usually develops in persons of 50-55 years and over. Only in rare cases will pain be felt on both sides of the face; usually it affects only one side. Pain is concentrated in one part of the face. It can exacerbate and subside in forms of seizures, with fluctuating frequency. During the attacks, the sufferer cannot eat, brush their teeth, talk or even wash their face. Even the slightest touch brings new unpleasant sensations. As patients do not know when the next attack is going to happen, their anxiety grows and they live in a state of constant expectation of another attack. 

In most cases it is difficult to identify exact cause of this disease. According to medical website News Medical, trigeminal neuralgia can be caused by abnormal nerve pressure or multiple sclerosis. It can also appear after herpes as a post-traumatic effect of the infection. Sometimes people suffer nerve damage due to an accident. 

Symptoms

Overall, trigeminal neuralgia is characterized by severe pain in the trigeminal nerve, which appears suddenly in the form of attacks. Such seizures may happen more and more often if the person does not undergo treatment. Pain may range from a mild dull ache to an unbearably explosive attack, which can even cause the sufferer to lose consciousness. There may be 3 to 10 attacks per day, which could last from several minutes to several hours. Patients describe these attacks as unbearable, likening the sensation to that of an electric shock. Attacks can start suddenly while talking or eating. Sometimes even wind can provoke a seizureAttacks occur cyclically; they come and go, so the remission period may last several months or even years. Pain may consequently result in numbness when the sufferer cannot move the muscles in their face. The most common symptoms are:

  • Strong pain in the facial nerve
  • Pressing sensation
  • Burning sensation
  • Compression of the nerves
  • Crumbling of the teeth
  • Constant depression
  • Lack of vitality
  • Despondency

There is another type of trigeminal neuralgia which is called atypical TN. It has slightly different trigeminal neuralgia symptoms, as the pain is felt like a burning sensation, not like an electrical shock. It can usually be alleviated by an anticonvulsant or very powerful painkillers.

Diagnosis

Very often trigeminal neuralgia becomes misdiagnosed, as most often the doctors think that patient experiences minor nerve problem. Almost in 60% of cases trigeminal neuralgia is thought to be something else. The exact diagnosis may be determined only after person’s pain does not subside even after several courses of nerve treatment.

Treatment

Although trigeminal neuralgia cannot be fully cured, there are several treatment options that can improve the patient’s condition. Some patients are prescribed with antiepileptic drugs; some receive antidepressants or strong anti-anxiety pills. They do not prove to be very effective. 

Medication

The main drug used in medical trigeminal neuralgia treatment is Tegretol. It has been used for the treatment of trigeminal neuralgia since 1962. Once this medication has reduced the patient’s pain, its use is continued in order to prevent any future attacks. Some doctors also use nicotinic acid to help the patient feel better.

Physiotherapy

Physiotherapy for the treatment of trigeminal neuralgia is quite diverse. The patient may be prescribed with biodynamic currents, electrophoresis, acupuncture and laser therapy. All of these therapy options aim to improve the state of the affected nerve cells by either warming them or conducting little doses of electricity to them. Physical therapy techniques are used only in combination with medication in order to achieve better and faster effects.

Surgery

  • Regarding trigeminal neuralgia, the most common type of surgery is microvascular decompression. The aim of this surgery is to separate vessel and nerve using microsurgical devices.
  • Other trigeminal neuralgia surgery is rhizotomy, when the doctor destructs the nerve root using an electric current or a needle electrode.
  • Balloon compression is also an effective trigeminal neuralgia surgery. The doctor achieves cessation of pain impulses by compressing them by means of a spray, which is applied to the nerve via a catheter.
  • Lonizing radiation is a non-invasive technique, which applies radiation
  • Radiofrequency ablation also uses radiation to destroy the nerve with heat

Pain attacks do not disappear immediately after surgery. But it subsides after several days. Simple medications are not likely to help. Therefore, all patients with trigeminal neuralgia are advised to get a timely and proper surgical treatment.




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