Trigeminal neuralgia: Approach to Care

Trigeminal neuralgia is a disorder in which sudden lightning-like pains strike the face. In its severe form it is regarded as the most excruciating pain that a person can experience. Drug therapy (especially carbamazepine and baclofen) is often effective in relieving the pain, but when medications fail, surgical treatment will provide relief in almost all cases.

A multidisciplinary team of UF physicians and surgeons from the UF College of Medicine Neurosurgery Department treat patients with Trigeminal Neuralgia. They are experts in stereotactic radiosurgery, which offers the most precise method of radiation delivery for Trigeminal Neuralgia and brain lesions. The combined expertise of specialists in neurosurgery, radiation oncology and physics is essential for optimal treatment. At the UF College of Medicine Neurosurgery Department, more than a decade of intense multidisciplinary research and clinical treatment has made the stereotactic radiosurgery group among the world's best. 

  • More than 3,000 patients with trigeminal neuralgia have had surgery at UF Health.
  • Depending on the patient, University of Florida neurosurgeons offer a range of surgical techniques, including microvascular decompression, radiofrequency lesion and radiosurgery.
  • Similar microvascular decompressive surgery has also proven quite successful in the treatment of hemifacial spasm. In this disorder, the seventh nerve is frequently compressed by branches of either the anterior inferior cerebellar artery or the posterior inferior cerebellar artery.

Learn More

Discover more about the disease in our free DVD, "Trigeminal Neuralgia: Important Things To Know If You Suffer Facial Pain"  by William Friedman, M.D.