Part Two: Treatment of Trigeminal Neuralgia

I.  Overview of Treatments



Microscope used in MVD surgery.

     Medications are the first line of treatment for TN and include carbamazepine (Tegretol®), phenytoin (Dilantin®), gabapentin (Neurontin®) and baclophen (Lioresal®).
As the disease progresses and pain becomes more frequent and severe, increased doses of medications are required which may lead to intolerable side effects and/or inadequate pain control. Each sufferer has differing tolerance to these medications and pain, but at least half will eventually find that medications do not adequately control their progressively worsening TN. The surgical procedures then considered are either microvascular decompression surgery or some form of nerve injury procedure (rhizotomies).



Next Section >>

<< Return to Table of Contents

Click here to return to the
Trigeminal Neuralgia
Web-Site at the Centre for
Cranial Nerve Disorders

A. M. Kaufmann & M. Patel
Centre for Cranial Nerve Disorders

Winnipeg, Manitoba, Canada

© 2001


Prepared by A. M. Kaufmann & M. Patel
© 2001 Centre for Cranial Nerve Disorders, Winnipeg, University of Manitoba, Health Sciences Centre. The information provided on this web-site is intended for educational purposes only, and should not be used to diagnose or treat a disease or disorder. This information is not intended to substitute, supplement, or in any way qualify the services or advice provided by a qualified health care professional. Please consult with a certified health care professional before pursuing any form of medical action. Duplication in any part or form of this document is strictly prohibited. All rights reserved. For further information please read our disclaimer. Web-Site related inquiries can be directed to the Information Provider.