Trigeminal neuralgia, Neurosurgery FAQ

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Post-Operative Recovery Timeline for Trigeminal Neuralgia Surgery

Postoperative Recovery Period for Trigeminal Neuralgia Decompression Surgery Hello, doctor. I underwent craniotomy for severe trigeminal neuralgia and it has been about one month since the surgery. I still experience occasional dizziness and unsteadiness while standing, but I hav...


Dr. Lai Zhaokang Reply:
Hello: Generally speaking, if the surgical wound is clean and the stitches are removed, one can gradually return to daily activities. More stable healing typically occurs around three months. However, the details of postoperative recovery can vary individually. You should consult...

[Read More] Post-Operative Recovery Timeline for Trigeminal Neuralgia Surgery


Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment Options

Trigeminal neuralgia? Hello Doctor, since last month, I have been experiencing severe pain in my right molars. I initially thought it was periodontal disease or cavities, so I visited a dental clinic. However, both clinics assessed that my dental condition was excellent and found...


Dr. Lai Zhaokang Reply:
Hello: How is your report from April 14? If there is no improvement in your symptoms, it is recommended to consult a neurosurgeon for evaluation. Best wishes to you. // Neurosurgery Dr. Lai Chao-Kang

[Read More] Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment Options


Understanding Trigeminal Neuralgia in Multiple Sclerosis: A Patient's Journey

Multiple sclerosis with trigeminal neuralgia Hello Doctor, about five days ago, I experienced pain when pressing on the bone above my right eyebrow, which occasionally persists as a dull ache. Recently, the tenderness has decreased, but it still remains, and the continuous pain h...


Dr. Lai Zhaokang Reply:
Hello: 1. Multiple sclerosis is a rare disease with diverse symptoms. It is essential to consult a neurologist and undergo thorough examinations for an accurate diagnosis. Please do not self-diagnose or assume you have the condition without a proper evaluation from a neurologis...

[Read More] Understanding Trigeminal Neuralgia in Multiple Sclerosis: A Patient's Journey


Understanding Trigeminal Neuralgia: Symptoms and Diagnosis

Trigeminal neuralgia? Hello, doctor. Recently, I've been experiencing a dull pain in my right teeth, but occasionally when I swallow something, I feel a sudden sharp pain on the right side of my mouth. After trying to swallow a few more times, the pain goes away. I've a...


Dr. Zhang Junwei Reply:
It is advisable to consult a dentist first to rule out any dental issues before suspecting trigeminal neuralgia.

[Read More] Understanding Trigeminal Neuralgia: Symptoms and Diagnosis


Sinusitis or Eye Pressure? Navigating Chronic Pain and Diagnosis

Sinusitis or ocular pressure? Hello, Doctor. The patient has been experiencing pressure and dull pain in the upper part of the eyeball and between the eyebrows, along with eye fatigue and a desire to rest. They have undergone MRI of the brain by a neurologist multiple times, but ...


Dr. Zhang Junwei Reply:
If you have already consulted with neurology and ENT specialists without finding any issues, it is advisable to consider a consultation with a neurosurgery clinic.

[Read More] Sinusitis or Eye Pressure? Navigating Chronic Pain and Diagnosis


Understanding Facial Pain: Possible Causes and Treatments

Cervicogenic headache Hello doctor, on the morning of May 8th, I woke up with a tingling sensation on the right side of my face. It hurts when I touch it, and there is also pain on the right side when I open my mouth. By the evening, the pain has persisted and now I also feel pai...


Dr. Lai Zhaokang Reply:
Hello: It is recommended that you consult a neurologist to determine if you have migraines or trigeminal neuralgia. Wishing you well from Changhua Hospital.

[Read More] Understanding Facial Pain: Possible Causes and Treatments


Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment Options

Trigeminal neuralgia Hello Doctor, I have been experiencing facial twitching on the right side, with my right eyelid frequently twitching. When I touch the upper gums and palate with my tongue, I feel an electric shock sensation. There is also a constant drooling from the corner ...


Dr. Ding Xianwei Reply:
Hello: You may be experiencing trigeminal neuralgia. Oral medications can be taken for a period of time, and if they are ineffective, surgery can be considered. Additionally, procedures such as thermocoagulation and alcohol injection are options, and gamma knife surgery may also ...

[Read More] Understanding Trigeminal Neuralgia: Symptoms, Diagnosis, and Treatment Options


Understanding Nerve Blocks for Treating Trigeminal Neuralgia: Methods and Pros/Cons

Treatment of trigeminal neuralgia using nerve block techniques? Hello Dr. Ding: Thank you very much for your response. Could you please explain what methods are included in nerve block? What are their advantages and disadvantages? Thank you!


Dr. Ding Xianwei Reply:
Hello: This includes several methods: 1. Surgical intervention to sever the nerve. 2. Using electrocautery or injecting 95% alcohol. 3. Utilizing gamma knife stereotactic surgery. If you have any questions, you can discuss them in detail with a physician at the neurosurgery outpa...

[Read More] Understanding Nerve Blocks for Treating Trigeminal Neuralgia: Methods and Pros/Cons


Managing Trigeminal Neuralgia: Options After Surgery Recurrence

Trigeminal neuralgia I would like to ask the doctor: My sister is 51 years old and underwent decompression surgery for trigeminal neuralgia. It has been 15 months since the surgery, and she has experienced a recurrence. What should we do now? Is it possible to undergo decompressi...


Dr. Ding Xianwei Reply:
Hello: Generally speaking, after undergoing decompression surgery, it is not advisable to have another surgery. Other methods may be needed, such as medication or nerve blocks. Additionally, stereotactic surgery can also be used to address your issue. Sincerely, Dr. Ding Hsien-We...

[Read More] Managing Trigeminal Neuralgia: Options After Surgery Recurrence