22.01.2019 · 👁 10,703
A new method of treating trigeminal neuralgia is now in Uzbekistan!
Patients can now talk, smile and eat without pain.
Clinical manifestations of trigeminal neuralgia.
Trigeminal neuralgia often debuts with pain in the teeth. The patient turns to the dentist, however, even after complete sanitation of the oral cavity, toothaches continue to bother him and the dentist decides to remove the tooth. Even healthy teeth are often removed. In this case, pain begins to appear in neighboring teeth. It has an unbearable character, twitching like an electric shock. It is provoked by eating, talking, brushing teeth. During an attack of trigeminal neuralgia, the patient freezes and is afraid to move. Sometimes he harshly squeezes or rubs the sore area of the face (antagonist gesture). Sometimes there is tugging pain in the mouth and tongue. Patients often remove several healthy teeth in a row. Only after this do they get an appointment with a neurologist.
Trigeminal neuralgia often debuts with pain in the teeth. The patient turns to the dentist, however, even after complete sanitation of the oral cavity, toothaches continue to bother him and the dentist decides to remove the tooth. Even healthy teeth are often removed. In this case, pain begins to appear in neighboring teeth. It has an unbearable character, twitching like an electric shock. It is provoked by eating, talking, brushing teeth. During an attack of trigeminal neuralgia, the patient freezes and is afraid to move. Sometimes he harshly squeezes or rubs the sore area of the face (antagonist gesture). Sometimes there is tugging pain in the mouth and tongue. Patients often remove several healthy teeth in a row. Only after this do they get an appointment with a neurologist.
Treatment of trigeminal neuralgia
1. Conservative treatment:
The conservative stage of treatment of trigeminal neuralgia is the use of anticonvulsants: carbamazepine (Finlepsin, Tegretol). Second-line drugs are gabapentin (gabagamma, tebantin, neuralgin), pregabalin (Lyrica). But over time, even these drug treatments stop working.
In this case, there is only one way out - surgery.
2. Surgical treatment:
Currently, two methods of surgical treatment are widely used in the world.
First -
microvascular decompression of the trigeminal nerve root. Microvascular decompression consists of trepanation of the posterior cranial fossa, revision of the relationship of the trigeminal nerve root, the superior and inferior anterior cerebellar arteries and the superior petrosal vein. When the root is compressed by vessels, they are isolated, and a gasket is placed between the vessels and the root to prevent contact between them and the impact of the vessel on the root.
However, neurovascular conflict is not always the cause of the disease. In addition, in patients suffering from severe concomitant somatic pathology and in elderly patients, this operation is risky.
For such patients, the Second-
Currently, in the leading neurosurgical clinics of the world, one of the most common methods of treating trigeminal neuralgia is radiofrequency destruction of the trigeminal nerve roots.
This method is the most effective, more manageable and has virtually no serious complications. Radiofrequency destruction of the roots of the trigeminal nerve, when, without an incision or anesthesia, through a tiny oval hole with a diameter of 3 mm at the base of the skull, neurosurgeons enter the desired area of the brain and selectively, focusing on the patient’s sensations, select the painful branch of the nerve and “turn off” it with high-frequency currents. The entire procedure is carried out under the control of an X-ray machine and has virtually no serious complications. And quite easily transferred:
The patient is sent home the same day.
Radiofrequency destruction is based on the physical principle of thermocoagulation and is based on the effect of the release of thermal energy when ultra-high frequency currents pass through biological tissues. An electrode connected to a current generator is brought to the site of destruction through an insulated cannula. The intensity of heating of the fabric depends on its resistance. An electric current passes between an active or damaging electrode immersed in body tissue and an indifferent or scattered electrode. Heat production, and as a result, tissue destruction, occurs only around the non-insulated tip of the active electrode. The main advantage of the radiofrequency destruction method is that the size of the damaged zone can be adequately controlled, and an electrode with a temperature sensor records the temperature in the damaged zone. It is possible to set the exact time of damage, and control of electrical stimulation and resistance level allows you to correctly and accurately install the electrode. The effect of the treatment occurs instantly and the patient gets rid of pain during the operation. The use of local anesthesia provides a short recovery period and the patient can sometimes get rid of pain once and for all for many years. In foreign sources, statistics on the effectiveness of treatment is 98%. If you or your loved ones have such a problem, we are ready to help. In our clinic we perform radiofrequency destruction of the trigeminal nerve; we have the most experience in these technologies. Successfully treated patients allow us to occupy a leading position in the field of treatment of trigeminal neuralgia in Uzbekistan.
Contact Chinobod Fayz Plyus Neurosurgery Clinic for treatment of trigeminal neuralgia. Tel: +998 91 609 56 41 Khurshidbek. Telegram:@hurshid1717