Can Trigeminal Neuralgia Be Cured With This One Simple Treatment? скачать в хорошем качестве

Can Trigeminal Neuralgia Be Cured With This One Simple Treatment?

In this video, we explore whether Trigeminal Neuralgia can be cured with a simple treatment. Learn more about this condition and possible treatment options. Trigeminal Neuralgia (TN): A Neurosurgeon’s Perspective Definition: Trigeminal neuralgia is a chronic pain disorder that affects the trigeminal nerve (cranial nerve V), which is responsible for sensation in the face and motor functions such as biting and chewing. Patients experience sudden, severe, shock-like facial pain that can last from a few seconds to several minutes. Clinical Features: Typically affects one side of the face (unilateral). Facial Pain due to Trigeminal Neuralgia is often described as stabbing, electric shock-like. This is Commonly triggered by routine activities: brushing teeth, chewing, touching the face, even wind. Most of the trigeminal Pain episodes may occur in clusters, followed by periods of remission. Most commonly Trigeminal Neuralgia affects the maxillary (V2) and mandibular (V3) branches. Etiology: Classical (Type 1) TN: Often caused by vascular compression of the trigeminal nerve root, typically by an artery or vein at the brainstem, leading to demyelination. Secondary TN: May result from multiple sclerosis, tumors, or other structural lesions. Idiopathic TN: No identifiable cause on imaging. Diagnosis: Primarily clinical, based on patient history and pain characteristics. MRI is essential to rule out secondary causes like tumors or multiple sclerosis and to identify neurovascular conflict. Management: Medical Treatment (First Line): Carbamazepine is the drug of choice. Other options: oxcarbazepine, gabapentin, baclofen. Monitor for side effects: liver dysfunction, hyponatremia, bone marrow suppression. Surgical Options (when medications fail or cause intolerable side effects): Microvascular Decompression (MVD): Gold standard for classical TN. Involves relieving pressure by separating the vessel from the nerve using a Teflon pad. High success and low recurrence rate. Percutaneous procedures: Glycerol rhizotomy, radiofrequency thermocoagulation, balloon compression — target the trigeminal ganglion to disrupt pain fibers. Stereotactic radiosurgery (Gamma Knife): Focused radiation to the root entry zone; non-invasive and suitable for older or medically unfit patients. Prognosis: TN can be effectively managed, especially with surgical intervention. Recurrence may occur, particularly with percutaneous procedures. Early diagnosis and intervention improve quality of life and reduce psychological impact. Key Point (Neurosurgical Insight): Early referral to a neurosurgeon is advised in cases of classical TN unresponsive to medication, as microvascular decompression offers the best chance for long-term pain relief without sensory loss, especially in younger patients with clear vascular compression on imaging.