The first branch of trigeminal nerve refers to the eye branch, i.e. the supraorbital foramen, upper eyelid, eyebrow, forehead, etc. The treatment of the first branch of trigeminal neuralgia pain is basically the same as that of trigeminal neuralgia, which can be treated mainly by closed treatment, drug treatment, radiofrequency temperature-controlled thermo-coagulation treatment, surgery and other ways of treatment.
1. Closure therapy: after determining the pain of the first branch of trigeminal nerve, 1%~2% lidocaine is used to perform block anesthesia at the nerve foramen (supraorbital foramen and its surrounding) to block the corresponding nerve trunks, and vitamin B12 can be added to do the closure of the nerve trunks or acupoints in order to relieve the pain.
2. Drug therapy: Carbamazepine, phenytoin sodium, clonazepam, scopolamine and other drugs can be used to relieve pain.
3. Radiofrequency thermo-coagulation: radiofrequency thermo-coagulation is a better way to treat trigeminal neuralgia at present, which has good pain-relieving effect, low recurrence rate, and can be repeated treatment.
4. Surgery: mainly through the microvascular decompression microvascular decompression surgery to treat, which belongs to the functional surgical treatment, not only can block the pain, but also does not destroy the normal sensory function of the trigeminal nerve, and will not lead to numbness of the innervated area.
It is recommended that the patient should seek medical treatment in time, and the doctor should choose the appropriate treatment according to the cause and condition.