Trigeminal neuralgia treatment in Noida — carbamazepine, Gamma Knife, and MVD surgery. Dr. Manish Vaish and Dr. Kapil Singhal at Medanta Hospital. Team Sushrut, Sector 50.
Dr Manish Vaish
Director & HOD – Neurosciences
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Overview
Symptoms
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Electric shock-like facial pain, strictly on one side
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Pain in cheek, jaw, teeth, gums, lips, or (rarely) eye and forehead
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Pain triggered by
chewing, talking, brushing teeth, touching the face, cold wind
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Duration
seconds to a few minutes per episode
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Pain-free intervals between attacks
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In severe cases
continuous background aching with superimposed electric shocks
Treatments
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Carbamazepine (first-line medication)
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Oxcarbazepine, gabapentin, pregabalin, baclofen (alternative medications)
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Glycerol rhizotomy (percutaneous, minimally invasive)
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Radiofrequency thermocoagulation
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Gamma Knife stereotactic radiosurgery
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Microvascular decompression (MVD)
definitive surgical treatment with lowest recurrence rate
