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Trigeminal Neuralgia Treatment Explained by Neurologist

1 Views • 08/26/25
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Timestamps
0:27 Causes
2:46 Tegretol (carbamazepine)
4:50 Trileptal (oxcarbazepine)
5:14 Neurontin (gabapentin)
6:08 Other Meds
6:42 Rhizotomy
8:59 Radiosurgery
10:01 Microvascular Decompression
11:36 Comparison of Procedures

Selected sources:
Neurosurgical atlas showing images of secondary TN: https://www.neurosurgicalatlas.....com/volumes/cranial

Multiple sclerosis and trigeminal neuralgia: https://www.ncbi.nlm.nih.gov/p....mc/articles/PMC34735

Stevens Johnson’s syndrome and Carbamazepine: https://www.ncbi.nlm.nih.gov/p....mc/articles/PMC25869

Review of efficacy of TN therapies: https://journals.lww.com/md-jo....urnal/Fulltext/2021/

Meta analysis of TN treatments: https://www.ncbi.nlm.nih.gov/p....mc/articles/PMC66050

Treatment options in TN: https://pubmed.ncbi.nlm.nih.gov/21179603/
Randomized trial Tegretol vs. placebo: https://pubmed.ncbi.nlm.nih.gov/5327969/
AAN practice Parameter on TN: https://n.neurology.org/content/71/15/1183.long
Summary of placebo-controlled and uncontrolled studies in TN: https://journals.lww.com/clini....calpain/Fulltext/200
Video of microvascular decompression:B

https://www.youtube.com/watch?v=4m4p3ZHErdk
technical discussion of ablation procedures with two neurosurgeons (
The Neurosurgical Atlas by Aaron Cohen-Gadol, M.D): https://www.youtube.com/watch?v=NioxbJ7OyKI

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Dr. Brandon Beaber is a board-certified neurologist with subspecialty training in multiple sclerosis and other immunological diseases of the nervous system. He is a partner in the Southern California Permanente Medical Group and practices in Downey, California (South Los Angeles). He has several publications on MS epidemiology and has participated in clinical trials for MS therapeutics. You can follow him on twitter @Brandon_Beaber where he regularly posts about MS news and research.

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Music: INNER GRACE - Copyright 2018 Wilton Vought Source: Really Really Free Music Link: https://youtu.be/wy9FL1-jup4 T

he video material by Dr. Brandon Beaber is general educational material on health conditions and is not intended to be used by viewers to diagnose or treat any individual's medical condition. Specifically, this material is not a substitute for individualized diagnostic and treatment advice by a qualified medical/health practitioner, licensed in your jurisdiction, who has access to the relevant information available from diagnostic testing, medical interviews, and a physical examination. To the extent that Dr. Beaber endorses any lifestyle change, behavioral intervention, or supplements, the viewer should consult with a qualified healthcare professional to determine the safety and efficacy of the intervention in light of their individualized information.

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