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What is trigeminal neuralgia ? 

Tigeminal neuralgia is a painful disorder of face, which is characterized by sudden onset severe , electric shock like  pain in usually on one side of the face. The pain may be initiated by speaking , chewing , blow of air on face , touching etc. 

Why trigeminal neuralgia occurs?

The cause of trigeminal neuralgia is not properly understood but it may me due to presence of aberrant blood vessel at the trigeminal root entry zone . 

What is the treatment of trigeminal neuralgia ?

In early stage - 

Trigeminal neuralgia though not completely curable can be treated with medicines. The medicines to be taken regularly as prescribed by the doctor. The medicine that are effective in management of trigeminal neuralgia pain  are  carbamazepine (first line drug in trigeminal neuralgia ) , oxcarbazepine, gabapentin, and  a muscle relaxant baclofen. 

What are the treatment options when trigeminal neuralgia pain is not relieving with medicines  ?

The treatment option for trigeminal neuralgia pain when it is not responding to drugs are interventional and surgical. 

Interventional treatment for treatment of trigeminal neuralgia are radiofrequenfy (RF) treatment at gasserian ganglion, retro-gasserian glycerol injection, and gasserian ganglion balloon compression. and the surgical treatment is microvascular decompression (MVD).  

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