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Treatment of Trigeminal Neuralgia | ️in the Best Hospitals - Doctors, Prices | Booking Health™

Trigeminal Neuralgia Treatment

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Best hospitals and doctors for trigeminal neuralgia treatment abroad

Leading hospitals

Cost for treatment

Trigeminal neuralgia diagnosis
921
Diagnosis and conservative treatment of trigeminal neuralgia
4244
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
6545.88
Neurological rehabilitation Phase C
0.00
The University Hospital Rechts der Isar Munich was founded in 1834. It combines long traditions with the very latest advances in modern medicine. The medical facility includes 33 specialized departments and 20 interdisciplinary centers, where patients can receive top-class medical care in all medical fields. The hospital annuall
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According to the authoritative Focus magazine, the Charite University Hospital Berlin occupies the first place in the rating of the top German medical facilities! The hospital is one of the largest and leading university medical complexes in Europe. The hospital in Germany provides modern diagnostics and treatment of patients, a
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Beta Clinic Bonn

Beta Clinic Bonn

Overall rating9.7 / 10
The Beta Clinic Bonn is a modern private healthcare facility with 20 specialized departments. In addition, the clinic cooperates with 30 independent doctors of various specializations, most of whom have their own private practices. The doors of the clinic first opened for patients in 2008. Since that time, the medical facility h
The University Hospital Freiburg is famous for its rich history and is one of the oldest and most prestigious medical facilities in Germany (one of the three best medical institutions in the country). The hospital was based on the Faculty of Medicine of the Albert Ludwig University of Freiburg, which celebrated its 550th anniver
According to the reputable Focus magazine, the University Hospital Frankfurt am Main ranks among the top German medical facilities! The hospital was founded in 1914 and today is a well-known German medical facility, which combines rich traditions and scientific innovations. A medical team of more than 6,500 employees cares about
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According to the Focus magazine in 2019, the University Hospital Würzburg ranks among the top national German hospitals! The hospital is one of the oldest medical facilities in Germany. The centuries-old traditions of first-class treatment are combined with the very latest achievements of modern evidence-based medicine and
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University Hospital Bonn

University Hospital Bonn

Overall rating9.2 / 10
According to the authoritative Focus magazine, the University Hospital Bonn ranks among the top ten medical facilities in Germany! The hospital was opened on January 1, 2001, although in fact it inherits the medical facility, which operated at the Faculty of Medicine of the University of Bonn. The hospital in Germany combin
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According to the reputable Focus magazine, the University Hospital Carl Gustav Carus Dresden ranks among the top five German hospitals! The hospital is the benchmark for modern high-quality medicine. Positioning itself as a maximum care medical facility, the hospital represents all medical fields. There are 26 specialized depart
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According to Focus magazine, the University Hospital Heidelberg ranks among the top five hospitals in Germany! The hospital is one of the most advanced and reputable medical institutions not only in Germany, but throughout Europe. There are more than 43 specialized departments and 13 medical institutes, which cover all fields of
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University Hospital Ulm

University Hospital Ulm

Overall rating8.7 / 10
The University Hospital Ulm is an advanced medical complex that provides patients with high-class medical care using the very latest scientific achievements. The medical facility has been performing successful clinical activities for more than 40 years and has long earned an excellent reputation throughout Europe. The hospital r
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According to the Focus magazine, University Hospital Erlangen ranks among the best medical facilities in Germany! The hospital is one of the leading healthcare facilities in Bavaria and offers top-class medical care distinguished by the close intertwining of clinical activities with research and training of medical students. The
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According to the Focus magazine, the University Hospital Hamburg-Eppendorf ranks among the top ten hospitals in Germany! Since its foundation in 1889, the hospital has taken a leading position in the European medical arena and still occupies it until today. A highly competent medical team of more than 11,000 employees takes care
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University Hospital Essen

University Hospital Essen

Overall rating9.6 / 10
According to the authoritative Focus magazine the University Hospital Essen ranks among the top German hospitals! With 27 specialized departments and 24 institutes, the hospital in Germany is a maximum care medical facility. The hospital has 1,300 beds for inpatient treatment. A highly qualified medical team of more than 6,000 e
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University Hospital Jena

University Hospital Jena

Overall rating8.9 / 10
According to the prestigious Focus magazine, the University Hospital Jena regularly ranks among the top German medical facilities! The hospital has positioned itself as a multidisciplinary medical facility with a long history of more than 200 years. Since its foundation, the hospital has been constantly developing and modernizin
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The University Hospital Marburg UKGM offers patients modern diagnostics and comprehensive therapy at the international level. As a maximum care hospital, the medical facility specializes in all fields of modern medicine ranging from ophthalmology to traumatology and dentistry. The main areas of specialization of the hospital are
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According to the prestigious Focus magazine, the University Hospital Halle (Saale) ranks among the top German medical facilities! The history of the hospital has more than 300 years, and during this time it managed to earn an excellent reputation not only in Germany, but throughout the world. The hospital positions itself as a s
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About the disease

The first thing you need to know about trigeminal neuralgia (TN) is that it is a chronic pain disorder of the trigeminal nerve. Trigeminal nerve is responsible for facial movements involved in mastication and also for face sensitivity. 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, as the process involves only sensitive fibres of the nerve.

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 teeth, talk or even wash 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 after nerve damage due to an accident. 

Symptoms

Overall, trigeminal neuralgia is characterized by severe pain in the trigeminal nerve region, which appears suddenly in the form of attacks. Such episodes 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 patient 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, comparing the sensation to that of an electric shock. Attacks can start suddenly while talking or eating. Sometimes even wind can provoke a seizure. Attacks 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 region
  • Pressing sensation
  • Burning sensation
  • 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 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

The trigeminal neuralgia is usually diagnosed on the basis of person’s complaints. Neurological examination plays an important role in the detection of the disease. A doctor palpates the face in order to determine the area of the lesion and find out which nerve branch is inflamed. Other methods of diagnosing the disease are MRI and computed tomography (CT). It helps to find out the cause of the disease.

Treatment

There are several treatment options that can improve the patient’s condition.

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 include diverse procedures. The patient may receive diadynamic currents, electrophoresis, acupuncture and laser therapy. All of these therapy options aim to improve state of the affected nerve cells by either warming them or conducting little doses of electricity through 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 (which is compressing the nerve) and nerve using microsurgical devices.
  • Other trigeminal neuralgia surgery is rhizotomy, when a doctor destructs the nerve root using electric current or a needle electrode.
  • Balloon compression of the trigeminal ganglion is also an effective trigeminal neuralgia surgery. A catheter with small deflated balloon is placed inside the skull, right near the trigeminal ganglion. Once the balloon is at the right place, a doctor inflates it in order to disrupt ways of passing pain signals. After that deflated balloon is withdrawn.
  • Ionizing radiation is a non-invasive technique, which applies radiation. Forms of this kind of treatment include Gamma Knife, Cyberknife and LINAC surgery. Precise targeting trigeminal nerve root also disrupts transmission of the undesirable pain signals.
  • Radiofrequency ablation also uses radiation to destroy the nerve with heat.

Pain attacks do not disappear immediately after surgery. The state improves in 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.

Authors: Dr. Vadim ZhiliukDr. Sergey Pashchenko