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Treatment of Trigeminal Neuralgia in Germany

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Cost for treatment

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

University Hospital Rechts der Isar Munich

9.8/10
location_onGermany, Munich

Department of Adult and Pediatric Neurosurgery, Spinal Surgery

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
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
8172
Diagnosis and conservative treatment of trigeminal neuralgia
8119

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, Epilepsy Surgery, Spinal Surgery

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
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 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
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

Trigeminal neuralgia is a chronic disease that is manifested by short-term episodes of severe pain in the face. Patients suffer not only from the pain syndrome, but also from the constant fear of a new attack, as they live in anticipation of it. However, the patient can get rid of this disease once and for all. The treatment of trigeminal neuralgia in Germany involves the use of minimally invasive procedures, neurosurgery, and radiosurgery. For the first time in the world, successful surgical treatment of trigeminal neuralgia was performed in Germany, in 1853, by Carl Edler von Patruban. More than a century and a half later, Germany remains one of the countries that achieved the best results in the treatment of this disease.

Content

  1. Symptoms
  2. Treatment

Trigeminal neuralgia is treated with drug therapy. If it does not work, the doctors carry out minimally invasive procedures, neurosurgical operations, or resort to a radiosurgical method.

You can undergo treatment at the University Hospital Rechts der Isar Munich, the Charite University Hospital Berlin, the University Hospital Freiburg.

You can contact the Booking Health specialists. We will select the best clinic for you and fully organize your trip.

Symptoms

 

Trigeminal neuralgia causes severe pain in the face, reducing the quality of life of patients. About 1 million people suffer from this disease worldwide. The right side of the face is most commonly affected. The main category of patients are women over 50 years.

In many cases, the trigeminal nerve roots are closely adjacent to the vessels, which creates conditions for the trigeminal nerve compression that is considered the cause of the development of the disease. The person has periodic attacks of pain. They last about 2 minutes and can be repeated up to 200 times a day. The person feels healthy between attacks.

Treatment

 

Conservative therapy is effective in 80% of patients. Drugs can relieve pain and reduce the frequency of attacks. However, it is possible to reduce the effectiveness of treatment in the future, so you have to resort to minimally invasive procedures and operations.

Treatment options:

Alcohol block is the simplest procedure. Ethyl alcohol at a dose of 1,5-2 ml is injected into the bone canal. The result is a temporary effect that lasts for 6-12 months. When the pain returns, the procedure can be repeated.

Percutaneous radiofrequency destruction is the destruction of the trigeminal nerve root due to heating. This procedure provides longer-term results that can last for several years. However, the procedure causes facial numbness in every third patient. The effectiveness of the procedure is about 75%.

Glycerol rhizotomy is the destruction of the trigeminal ganglion through the oval hole with pure glycerin. The effectiveness of the procedure reaches 90%, and in 60% of patients, the effect occurs immediately. About 75% of people no longer need drug therapy. In 85% of patients, the effect persists for more than 7 years. However, the procedure gives side effects, the most common of which are the weakness of the masticatory muscles – 13%, hypersensitivity in the face – 30%, and a decrease in the corneal reflex – 41,5%.

Percutaneous balloon compression – doctors puncture the foramen ovale and insert a Fogarty balloon catheter into the trigeminal cistern. Then it is inflated, which leads to mechanical damage to the trigeminal ganglion. The procedure is effective in most patients. The risk of pain recurrence within 10 years is 31%. The probability of developing hypersensitivity in the face is 15%.

Microvascular decompression of the trigeminal nerve root is the main treatment method. The doctor performs a trepanation of the posterior cranial fossa and finds an area of compression of the nerve root by the vessels. They are isolated, and a special pad is placed between the vessels and the root, preventing contact between them. The efficiency of this operation is high: at least 66%, and in specialized centers in Germany, it reaches 92%. Patient mortality is on average 0,5%, and in German hospitals, it is close to zero.

Gasser's ganglion radiosurgery is the destruction by irradiation. It is a non-invasive treatment method that was first used in 1971. Since then, radiosurgery has become more precise, so complications rarely develop. However, there is still a risk of damage to the cranial nerves (about 10%).

To undergo diagnostics, treatment of trigeminal neuralgia in Germany, and neurological rehabilitation, you are welcome to use the Booking Health service. On our website, you can find out the cost of medical services. Compare how much is the price of treatment in different clinics in Germany in order to book a medical care program at favorable prices. The Booking Health specialists will help you choose a clinic and organize your trip.

 

Authors: 

The article was edited by medical experts, board certified doctors Dr. Vadim Zhiliuk and Dr. Sergey Pashchenko. For the treatment of the conditions referred to in the article, you must consult a doctor; the information in the article is not intended for self-medication!

 

Sources:

Journal of Neurology, Neurosurgery and Psychiatry

World Federation of Neurology

MedlinePlus




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