Receiving cold air on the face<\/li>\n<\/ul>\n<\/div>\r\r[vc_column_text css=””]Some people experience pain-free periods between attacks. In other cases, persistent discomfort, burning, or facial tenderness may accompany the attacks. The intensity and frequency can change over time.<\/p>\nFacial pain is not always caused by trigeminal neuralgia. Dental problems, temporomandibular joint disorders, migraines, sinusitis, and other neurological conditions can produce similar symptoms. For this reason, it is important to avoid self-diagnosis.[\/vc_column_text][vc_custom_heading text=”Causas y diagn\u00f3stico” use_theme_fonts=”yes” css=””][vc_column_text css=””]In many patients, neuralgia is related to contact with or compression of the trigeminal nerve by a blood vessel near its entry into the brainstem. Repeated pressure can damage the nerve’s protective sheath and cause abnormal pain signals.<\/p>\n
There are also cases associated with multiple sclerosis, tumors, or other lesions that affect the nerve’s path. In some individuals, no specific structural cause is identified.<\/p>\n
Diagnosis begins with a detailed medical history. The location of the pain, its duration, triggers, frequency of episodes, and previously used treatments are discussed. A neurological examination is also performed to assess sensation and rule out other disorders.<\/p>\n
Brain MRI can help identify vascular compression, structural damage, or diseases affecting the nerve. However, MRI findings should always be interpreted in conjunction with the symptoms and medical evaluation.[\/vc_column_text][vc_single_image image=”11940″ img_size=”full” css=””][vc_custom_heading text=”Treatment of trigeminal neuralgia” use_theme_fonts=”yes” css=””][vc_column_text css=””]Treatment is selected based on the type of neuralgia, pain intensity, likely cause, age, overall health, and response to previous treatments. Not all patients require surgery.[\/vc_column_text][vc_custom_heading text=”Drug treatment” font_container=”tag:h3|font_size:25px|text_align:left|line_height:40px” use_theme_fonts=”yes” css=””][vc_column_text css=””]Treatment typically begins with medications that reduce pain signals from the nerve. These include certain anticonvulsants, which require a prescription, gradual dosage adjustment, and medical monitoring.<\/p>\n
Over time, some patients may experience reduced response, require higher doses, or develop adverse effects. It is not recommended to modify or discontinue these medications without consulting a specialist, as each case requires an individualized treatment plan.[\/vc_column_text][vc_custom_heading text=”Percutaneous procedures and radiosurgery” font_container=”tag:h3|font_size:25px|text_align:left|line_height:40px” use_theme_fonts=”yes” css=””][vc_column_text css=””]During the evaluation, I individually analyze your symptoms, the characteristics of your pain, imaging studies, and your response to previous treatments. My goal is to confirm whether you have trigeminal neuralgia, rule out other causes of facial pain, and clearly explain the available alternatives.<\/p>\n
Each case requires careful evaluation to determine which treatment can offer the best balance between pain relief, safety, and quality of life.[\/vc_column_text][vc_custom_heading text=”Microvascular decompression” font_container=”tag:h3|font_size:25px|text_align:left|line_height:40px” use_theme_fonts=”yes” css=””][vc_column_text css=””]Microvascular decompression aims to separate the blood vessel compressing the nerve from the nerve itself. During the procedure, a protective material is placed between the two structures to reduce contact and preserve nerve function.<\/p>\n
This surgery may be considered when symptoms are consistent with trigeminal neuralgia, vascular compression is suspected, and the patient is a suitable candidate for neurosurgical intervention.<\/p>\n
Unlike procedures that produce a controlled injury to the nerve, microvascular decompression attempts to correct the mechanical cause without destroying the nerve. However, it is an intracranial surgery and carries risks that must be considered.[\/vc_column_text][vc_custom_heading text=”Specialist assessment for trigeminal neuralgia” use_theme_fonts=”yes” css=””][vc_column_text css=””]During the evaluation, I individually analyze your symptoms, the characteristics of your pain, imaging studies, and your response to previous treatments. My goal is to confirm whether you have trigeminal neuralgia, rule out other causes of facial pain, and clearly explain the available alternatives.<\/p>\n
Each case requires careful evaluation to determine which treatment can offer the best balance between pain relief, safety, and quality of life.[\/vc_column_text][\/vc_column][vc_column width=”5\/12″ css=”.vc_custom_1531977384221{padding-left: 20px !important;}” offset=”vc_col-lg-4 vc_col-md-4 vc_col-xs-12″][vc_row_inner css=”.vc_custom_1531734883992{margin-top: 0px !important;margin-bottom: 0px !important;padding-top: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}” el_class=”box-shadow”][vc_column_inner css=”.vc_custom_1531733996221{margin-top: 0px !important;margin-bottom: 0px !important;padding-top: 0px !important;padding-right: 0px !important;padding-bottom: 0px !important;padding-left: 0px !important;}”][vc_custom_heading text=”Skull Base Surgery and Endoneurosurgery” font_container=”tag:h3|font_size:18px|text_align:left|color:%232b2b2b|line_height:24px” use_theme_fonts=”yes” css=”.vc_custom_1596212988894{margin-top: 0px !important;margin-bottom: 0px !important;padding-top: 18px !important;padding-right: 17px !important;padding-bottom: 18px !important;padding-left: 28px !important;}” el_class=”font-weight-bold”]