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In this Article

• Introduction to trigeminal neuralgia
• What is trigeminal neuralgia?
• What is trigeminal neuralgia?
• What causes trigeminal neuralgia?
• What are the symptoms of trigeminal neuralgia?
• How is trigeminal neuralgia diagnosed?
• How is trigeminal neuralgia treated?
• Trigeminal Neuralgia Glossary
• Trigeminal Neuralgia Index

How Is Trigeminal Neuralgia Diagnosed?

Magnetic resonance imaging (MRI) can be used to determine whether a tumor or multiple sclerosis is irritating the trigeminal nerve. Otherwise, no test can determine with certainty the presence of trigeminal neuralgia. Tests can, however, help rule out other causes of facial disorders. Trigeminal neuralgia usually is diagnosed based on the patient's description of the symptoms.

How Is Trigeminal Neuralgia Treated?

Trigeminal neuralgia can be treated with antiseizure medications such as Tegretol or Neurontin. The medications Klonopin and Depakote may also be effective and may be used in combination with other drugs to achieve pain relief. Some antidepressant drugs also have significant pain relieving effects.

If medications are ineffective or if they produce undesirable side effects, neurosurgical procedures are available to relieve pressure on the nerve or to reduce nerve sensitivity.

Some patients report having reduced or relieved pain by means of alternative medical therapies such as acupuncture, chiropractic adjustment, self-hypnosis or meditation.

WebMD Medical Reference

Reviewed by Ephraim K Brenman, DO on February 10, 2009

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