Best Treatment for Trigeminal Neuralgia

How to be able to effectively treat trigeminal neuralgia, patients need to confirm the diagnosis of their own condition, the next to introduce to you. First of all, patients should exclude secondary factors caused by trigeminal neuralgia (such as intracranial occupancy, etc.), primary trigeminal neuralgia currently has the following main treatments: 1, drug therapy: the first choice of carbamazepine, alternative medications also include oxcarbazepine, gabapentin and so on; Advantages: non-invasive, simple, safe, some patients with good control; Disadvantages: long-term medication patient compliance is poor, the effect of long-term use of treatment may be The patients with poor liver and renal function should be regularly monitored; 2. Trigeminal microvascular compression surgery performed by neurosurgery; Advantages: high cure rate, few recurrences, few sequelae; Disadvantages: high risk of craniotomy, traumatic injury, high cost, generally poor basic condition and elderly patients should not be selected; 3. Radiofrequency thermo-coagulation, balloon compression performed by pain management department; Advantages: minimally invasive surgery, minimal trauma, quick effect, short hospitalization days, and short recovery time. The advantages: minimally invasive surgery, minimal trauma, rapid onset of effect, short hospitalization days, quick recovery, less cost, repeated operation, applicable to elderly patients, patients with poor general condition, and patients with recurrence of other treatment modalities; disadvantages: recurrence, some patients with residual local numbness of the facial muscles or motor abnormalities after the operation; 4, interventional and other departments of the Gamma Knife therapy; advantages: basically non-invasive, applicable to the elderly, the basic condition of the patients with very poor; disadvantages: recurrence, slow onset of effect, 1-3 months onset of effect. Disadvantages: recurrence, slow onset of effect, 1-3 months onset of effect, high cost, not applicable to people with obvious symptoms of trigeminal nerve pain.