Trigeminal Neuralgia: Symptoms, Causes, Diagnosis, and Treatment - Aaron Cohen-Gadol, M.D.

Understanding Trigeminal Neuralgia: Causes, Symptoms, and Treatments
Trigeminal neuralgia is a chronic condition causing intense, shock-like facial pain, often triggered by touch or movement. Treatment options include medications, microvascular decompression surgery, and ablative procedures, with varying effectiveness and recurrence rates.
In this video, we cover:
🧬What is Trigeminal Neuralgia?: A detailed explanation of this chronic condition and how it impacts daily life.
🔍 Symptoms and Triggers: Learn about the common signs and symptoms.
💊 Treatment: Explore the various treatment options available.
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Key moments:
00:10 Trigeminal neuralgia is a severe pain condition with specific characteristics like shock-like pain in the face triggered by facial activities. Proper diagnosis is crucial to differentiate it from other facial pains for effective treatment and surgery outcomes.
02:25 Trigeminal neuralgia is more common in adults over 50 years old and women, with symptoms of intense shock-like pain in the face, triggered by various stimuli. Diagnosis relies on symptoms over imaging, as MRI may not always show the cause of symptoms accurately.
04:44 Neuralgia that doesn't respond well to medication may be effectively treated with surgery. Surgical options include microvascular decompression, ablative treatments, and least invasive stereotactic radiosurgery.
07:01 Ablative treatments like rhizotomies can have a 30 to 50 percent recurrence rate in five years, but are effective for facial pain syndromes. Trigeminal neurologist surgery is extremely effective and can provide long-term pain relief for patients.