Have trigeminal neuralgia and vertigo due to a head on car accident that put me in a coma for 3weeks this was 12 years ago but for the past 4 years been dealing with TN been on all the meds none work. Need to find a neurosurgeon. I live in Nashville,TN
Hi, Thanks for writing in. Trigemminal neuralgia is a condition which can get too disturbing at times. The treatment options are many and change with the severity of symptoms. Initial treatment is with anticonvulsant Chat Doctor.  Others like oxcarbazepine, clonazepam and gabapentin have also been used with benefits seen in patients. Next are the antispasmodic group of medications which help muscles to relax. If medications do not help much then there are many minimally invasive surgical procedures that can help in your case. The procedures that help in trigeminal neuralgia includesMicrovascular decompressionGamma Knife radiosurgeryGlycerol injectionBalloon compressionRadiofrequency thermal lesioning above methods are the latest in the treatment of trigeminal neuralgia and I suggest you have a detailed discussion on the procedures offered by your neurosurgeon and take the one your doctor recommends. Please do not worry.