Treatment for Trigeminal Neuralgia (TN) at Brigham and Women’s Hospital starts with medication. First line medical therapy includes medications such as carbamazepine or oxcarbazepine. Many other medications can also be used including: baclofen, lamotrigine, levetiracetam, gabapentin, pregabalin, topiramate and botulinum injections. The medications vary in both their efficacy and tolerability.
If medication is no longer serving your needs, our recommendation is highly tailored to your needs. In general, our patients under 65 are encouraged to have the underlying pressure from the blood vessel relieved (MVD), and our patients over 65 are encouraged to undergo the less involved procedures (RFL or radiosurgery).
Our team of neurosurgeons with deep expertise in treating trigeminal neuralgia includes:
To schedule an appointment with a physician in the Neurosurgery Pain Service, please contact our Patient Coordinator at: (617) 732-6600.
If you are a physician seeking to refer a patient to the Neurosurgery Pain Service, please call (617) 732-6600 or you can access our physicians’ office phone numbers here. To contact one of our physicians with a question, patient referral or second opinion, you may also email: BWHNeurosurgery@partners.org.
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