If you have intolerable pain in one side of the face, perhaps, you are suffering from trigeminal neuralgia. We offer several efficient treatment options for trigeminal neuralgia. Choice of the right treatment method depends on each particular situation. In order to prescribe the most efficient and safest treatment method for you, our specialists have to assess the disease, underlying causes, previous health examinations and treatment.
Radiosurgery Centre Sigulda offers treatment of trigeminal neuralgia with the most advanced robotic system CyberKnifeⓇ M6. Treatment of trigeminal neuralgia with radiosurgery does not involve surgical intervention and blood loss.
Treatment of trigeminal neuralgia with CyberKnife® M6 Step by step .
How can we help if you are diagnosed with trigeminal neuralgia?
- Since establishment of the Radiosurgery Centre Sigulda (2015) our clinic offers the world's most advanced non-invasive trigeminal neuralgia treatment method with Cyberknife® M6 robotic radiation delivery system;
- Radiosurgery with CyberKnife® M6 ensures trigeminal neuralgia pain relief in 80% of cases within 2 years, as well as minimum profile of side effects;
- Our team consists of experienced, highly qualified specialists (neurologist, neurosurgeon, neuro radiologist, radiation oncologist) specialising in diagnosing and treating of trigeminal neuralgia patients;
- Before treatment each individual case is assessed by the specialist team — the board of specialised doctors;
Our specialists work according to the guidelines of the professional associations on the basis of recent clinical trials and experience of the leading European clinics, in line with especially elaborated protocol for treatment of trigeminal neuralgia; - Results of the patients treated in a period of two years fully correspond to the results of leading CyberKnife centres in Europe in terms of both efficiency and safety.
The main task of our specialists is to offer diagnostics and treatment method that is most suitable for you. Ask here and our specialists will help you to understand your situation and find the best solution in your case.
Treatment of trigeminal neuralgia with CyberKnife — before and after the treatment

Treatment of trigeminal neuralgia with CyberKnife robotic system
Possible therapy tactics, side effects and course of the therapy are explained in a consultation. Image data from previous analyses and diagnostic radiology are demonstrated and explained, as well as therapy plan is drawn up.
The Medical Treatment Law stipulates that treatment tactics of each patient is examined in a multidisciplinary board of doctors consisting of a neurologist, neurosurgeon, radiation oncologist and diagnosing radiologist. The treating doctor presents patient's medical data to the members of the board of specialised doctors. Participants of the board evaluate previous treatment tactics, examinations performed and discuss the therapy plan as well as prepare recommendations for further patient surveillance. If necessary, the patient is invited to attend the board of specialised doctors in person to directly discuss different aspects of treatment with the board members.
During the topometry thermoplastic mask is prepared, computed tomography (CT) scan is performed with the previously prepared thermoplastic mask, 3 Tesla magnetic resonance imaging (MRI) scan is performed on the basis of a specialised protocol according to requirements of the CyberKnife® M6 System.
It is followed by elaboration of a plan for trigeminal neuralgia treatment with CyberKnife® M6 robotic system.
The medical team will use the imaging data to determine locations of the damaged structures and critical nearby organs which are then uploaded in the CyberKnife® M6 robotic system. Each plan is tested with individual dosimetry methods.
Trigeminal neuralgia treatment requires only 1 radiosurgery session, which lasts approximately 40 to 50 minutes, during which the patient simply lies on the therapy table.
You will receive a therapy conclusion, recommendations for the first three months of the post-treatment period, as well as information about possible side effects. In case of positive therapeutic effect, you can actively enjoy life without special restrictions.
What does trigeminal neuralgia mean?
Trigeminal neuralgia is often described as one of the most intolerable type of pain. Usually this pain appears in the lower part or both sides of the face, but it can also manifest as pain around the nose or above eyes. Patients say that this pain resembles 'electric shock', 'shot’ in one side of the face, burning or prominently pricking sensation.
Trigeminal nerve is the fifth of 12 cranial (head) nerves, which ensures sensations in the face. This nerve is located both in the right and left side of the face, where it divides into 3 branches, hence its name 'trigeminal'.
- 150,000 people worldwide are diagnosed with trigeminal neuralgia each year;
- This disease can occur to any person, regardless of age, but it is most common after 50 years of age;
- Statistics show that this disease is more common in women than men;
- There is a higher risk to have this condition if there is a family history of trigeminal neuralgia;
- High blood pressure or multiple sclerosis can increase risk of this disease;
- Spontaneous, sudden, severe, electric shock resembling pain, most often in one side of the face;
- They can last for two seconds up to even 2 minutes;
- Pain can disappear suddenly and not return even several months;
- Pain can be provoked by eating, touching, speaking, washing, wind and other irritants.
Pain characterisation given by the patient plays the major role. Basing on this description a neurologist will perform neurologic examinations of the face — check painful points, sensation, temperature sensitivity and function.
In order to establish the causes (for example, a tumour or multiple sclerosis, or a neurovascular conflict) that could cause trigeminal neuralgia, one must perform imaging diagnostics — magnetic resonance imaging.

https://www.mayoclinic.org/diseases-conditions/trigeminal-neuralgia/diagnosis-treatment/drc-20353347
https://www.aans.org/Patients/Neurosurgical-Conditions-and-Treatments/Trigeminal-Neuralgia
https://www.doctus.lv/2016/3/trigeminala-neiralgija-no-diagnozes-lidz-veiksmigai-terapijai
http://pasadenacyberknife.com/5-trigeminal-neuralgia-surgeries-compared/