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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Trigeminal Neuralgia Despite Having A Gamma Knife Radiosurgery

I have Trigeminal Neuralgia and I have had it for 8 years and through those years I have tried many drugs for seizures which did not work. I have had MRI s and nothing has really developed that I can say it has because never saw either scary. Had the Gamma Knife procedure done July 2016, that didn t work. Had a drug reaction , broke out in a full body rash, got meds, lost 20lbs, could not eat because the pain was so bad I had to eat out of one side of my mouth from a cup folded in half to make a funnel to pour in the liquid drink I drank this way for 3meals a day for 30 days. .
posted on Mon, 23 Oct 2017
Twitter Mon, 10 Sep 2018 Answered on
Twitter Tue, 11 Sep 2018 Last reviewed on
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Neurologist,  's  Response
Hi,

There many medications that are not antiseizure medications which can be useful against TN such as Ticyclics (nortriptyline, amitriptyline, desimpramine, duloxetine, imipramine), muscle relaxants (Baclofen, Tizanidine), and calcium channel blockers (Verapamil, Diltiazem, Mexiletine).

TN is a very challenging problem to resolve. I'm curious to know what they actually gamma knifed and hope that doesn't result in long-term chronic central pain syndrome which is always the risk of that particular procedure. No matter where in the brain they ablate nor for what reason.

Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Dariush Saghafi, Neurologist
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Suggest Treatment For Trigeminal Neuralgia Despite Having A Gamma Knife Radiosurgery

Hi, There many medications that are not antiseizure medications which can be useful against TN such as Ticyclics (nortriptyline, amitriptyline, desimpramine, duloxetine, imipramine), muscle relaxants (Baclofen, Tizanidine), and calcium channel blockers (Verapamil, Diltiazem, Mexiletine). TN is a very challenging problem to resolve. I m curious to know what they actually gamma knifed and hope that doesn t result in long-term chronic central pain syndrome which is always the risk of that particular procedure. No matter where in the brain they ablate nor for what reason. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Dariush Saghafi, Neurologist