Brain

Trigeminal neuralgia (TN) is a chronic pain disorder affecting the trigeminal nerve (5^th cranial nerve) which is one of the most commonly dispersed nerves in the head. The trigeminal nerve is responsible for sensation in the face and motor functions such as biting and chewing. The typical or “classic” form of the disorder (called “Type 1” or TN1) causes extreme, sporadic, sudden burning or shock-like facial pain that lasts anywhere from a few seconds to as long as two minutes per episode.  These attacks can occur in quick succession, in volleys lasting as long as two hours.  The “atypical” form of the disorder (called “Type 2” or TN2), is characterized by constant aching, burning, stabbing pain of somewhat lower intensity than Type 1.

TN is connected to several conditions. It can be caused by pressure from a blood vessel on the trigeminal nerve. Symptoms may also present in patients with multiple sclerosis. On rare occasions, tumors or arteriovenous malformations (an entanglement of arteries) may cause trigeminal neuralgia. Trauma to the trigeminal nerve may produce symptoms as well.

Dr. Yashar will review a patient’s entire health history and symptoms presented in order to determine what further testing is needed. Dr. Yashar will work with specialists, such as neurologists as well to obtain specialized testing.

Treatment options include medicines, surgery, and complementary approaches. Dr. Yashar will recommend the best course of treatment which may include medication and/or surgery.

Currently the surgical options for Trigeminal Neuralgia include Gamma Knife Radiosurgery, Percutaneous Balloon Compression and Microvascular Decompression.