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Trigeminal Neuralgia Treatment

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Cost for treatment

Trigeminal neuralgia diagnosis
 from  455
Diagnosis and conservative treatment of trigeminal neuralgia
 from  2079
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
 from  6270

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery

According to the prestigious FOCUS magazine, the University Hospital Rechts der Isar Munich ranks among the Germany's top medical institutions! Founded in 1834, the hospital combines long traditions and the very latest achievements of modern medicine. The medical facility includes 33 specialized departments, 20 interdiscipli
Trigeminal neuralgia diagnosis
1890
Diagnosis and conservative treatment of trigeminal neuralgia
8038
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
19489

Charite University Hospital Berlin

9/10
location_onGermany, Berlin

Department of Adult and Pediatric Neurosurgery

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
Trigeminal neuralgia diagnosis
2307
Diagnosis and conservative treatment of trigeminal neuralgia
10345
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
25742

Beta Klinik Bonn

9.7/10
location_onGermany, Bonn

Department of Neurosurgery and Interventional Neuroradiology

Beta Klinik is a modern hospital which consists of 30 specialized departments. The hospital is equipped with the state-of-the-art equipment of the university level. The operating rooms, an intensive care unit and the rehabilitation center correspond to the highest standards. It also concerns highly qualified physicians of the ho
Trigeminal neuralgia diagnosis
1931
Diagnosis and conservative treatment of trigeminal neuralgia
7481

University Hospital Freiburg

9.7/10
location_onGermany, Freibung

Department of Adult and Pediatric Neurosurgery

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
Trigeminal neuralgia diagnosis
1962
Diagnosis and conservative treatment of trigeminal neuralgia
8119
Diagnosis and conservative treatment of trigeminal neuralgia
8172

University Hospital Frankfurt am Main

10/10
location_onGermany, Frankfurt am Main

Department of Adult and Pediatric Neurosurgery

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
Trigeminal neuralgia diagnosis
1746
Diagnosis and conservative treatment of trigeminal neuralgia
7349
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
17252

University Hospital Würzburg

9.2/10
location_onGermany, Würzburg

Department of Adult and Pediatric Neurosurgery

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
Trigeminal neuralgia diagnosis
1737
Diagnosis and conservative treatment of trigeminal neuralgia
7431
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
17423

University Hospital Bonn

9.2/10
location_onGermany, Bonn

Department of Neurosurgery

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
Trigeminal neuralgia diagnosis
1931
Diagnosis and conservative treatment of trigeminal neuralgia
8031
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
19329

University Hospital Carl Gustav Carus Dresden

9.1/10
location_onGermany, Dresden

Department of Adult and Pediatric Neurosurgery

According to the prestigious Focus magazine, the University Hospital Carl Gustav Carus Dresden is among the top three hospitals in Germany! The hospital is the embodiment of the standards of modern high-quality medicine. Since the hospital positions itself as a maximum care medical facility, it represents all medical fields. The
Trigeminal neuralgia diagnosis
2049
Diagnosis and conservative treatment of trigeminal neuralgia
9265
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
22809

University Hospital Heidelberg

9.8/10
location_onGermany, Heidelberg

Department of Adult and Pediatric Neurosurgery

According to the 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 field
Trigeminal neuralgia diagnosis
0
Diagnosis and conservative treatment of trigeminal neuralgia
0
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
0

University Hospital Ulm

8.7/10
location_onGermany, Ulm

Department of Neurosurgery

The University Hospital Ulm started its activities 35 years ago and during this time it has become one of the most prestigious medical institutions in Europe. The hospital is famous for its numerous discoveries and the world-class achievements in medicine and pharmaceuticals. The medical facility has 29 specialized departments a
Trigeminal neuralgia diagnosis
1820
Diagnosis and conservative treatment of trigeminal neuralgia
7742
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
19408

University Hospital Erlangen

9.1/10
location_onGermany, Erlangen

Department of Adult and Pediatric Neurosurgery, Spinal Surgery

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
Trigeminal neuralgia diagnosis
1825
Diagnosis and conservative treatment of trigeminal neuralgia
7811
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
19494

University Hospital Hamburg-Eppendorf

9.2/10
location_onGermany, Hamburg

Department of Adult and Pediatric Neurosurgery

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
Trigeminal neuralgia diagnosis
2160
Diagnosis and conservative treatment of trigeminal neuralgia
9190
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
22364

University Hospital Essen

9.6/10
location_onGermany, Essen

Department of Adult and Pediatric Neurosurgery

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
Trigeminal neuralgia diagnosis
1762
Diagnosis and conservative treatment of trigeminal neuralgia
7334
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
17527

University Hospital Jena

8.9/10
location_onGermany, Jena

Department of Adult and Pediatric Neurosurgery

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
Trigeminal neuralgia diagnosis
2001
Diagnosis and conservative treatment of trigeminal neuralgia
8199
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
19429

University Hospital Marburg UKGM

8.6/10
location_onGermany, Marburg

Department of Adult and Pediatric Neurosurgery

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
Trigeminal neuralgia diagnosis
1682
Diagnosis and conservative treatment of trigeminal neuralgia
7085
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
16117

University Hospital Halle (Saale)

9.6/10
location_onGermany, Halle

Department of Neurosurgery

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
Trigeminal neuralgia diagnosis
1760
Diagnosis and conservative treatment of trigeminal neuralgia
7377
Treatment of trigeminal neuralgia by microvascular decompression of trigeminal nerve root
17476
| from Booking Health GmbH

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




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