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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Trigeminal Neuralgia And Vertigo

Have trigeminal neuralgia and vertigo due to a head on car accident that put me in a coma for 3weeks this was 12 years ago but for the past 4 years been dealing with TN been on all the meds none work. Need to find a neurosurgeon. I live in Nashville,TN
Wed, 28 Jan 2015
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Radiologist 's  Response
Hi,
Thanks for writing in.

Trigemminal neuralgia is a condition which can get too disturbing at times. The treatment options are many and change with the severity of symptoms.
Initial treatment is with anticonvulsant drugs like carbamazepine. Others like oxcarbazepine, clonazepam and gabapentin have also been used with benefits seen in patients.

Next are the antispasmodic group of medications which help muscles to relax. If medications do not help much then there are many minimally invasive surgical procedures that can help in your case.

The procedures that help in trigeminal neuralgia includes
Microvascular decompression
Gamma Knife radiosurgery
Glycerol injection
Balloon compression
Radiofrequency thermal lesioning

The above methods are the latest in the treatment of trigeminal neuralgia and I suggest you have a detailed discussion on the procedures offered by your neurosurgeon and take the one your doctor recommends. Please do not worry.
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Suggest Treatment For Trigeminal Neuralgia And Vertigo

Hi, Thanks for writing in. Trigemminal neuralgia is a condition which can get too disturbing at times. The treatment options are many and change with the severity of symptoms. Initial treatment is with anticonvulsant drugs like carbamazepine. Others like oxcarbazepine, clonazepam and gabapentin have also been used with benefits seen in patients. Next are the antispasmodic group of medications which help muscles to relax. If medications do not help much then there are many minimally invasive surgical procedures that can help in your case. The procedures that help in trigeminal neuralgia includes Microvascular decompression Gamma Knife radiosurgery Glycerol injection Balloon compression Radiofrequency thermal lesioning The above methods are the latest in the treatment of trigeminal neuralgia and I suggest you have a detailed discussion on the procedures offered by your neurosurgeon and take the one your doctor recommends. Please do not worry.