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Trigeminal Neuralgia: 10 Treatment Options That Work

Microvascular Decompression (MVD) and Antispasmodic Agents

Microvascular decompression (MVD) is the most invasive neurosurgical procedure for trigeminal neuralgia. It offers the most sustained pain relief. This procedure involves moving the blood vessel that is compressing the trigeminal nerve. That is, it completely fixes the problem. MVD is done under general anesthesia. You have to stay in the hospital for a few days after the procedure. Studies show that more than 70% of patients who undergo this procedure experience relief. This means that the success rate is high. Note that it can also lead to severe health complications.

Antispasmodic agents are used in combination with carbamazepine to reduce pain and prevent transmission via pain fibers. They may cause side effects like drowsiness [4], nausea [5], and confusion.