Re: Geniculate Neuralgia

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Posted by CCF MD on November 12, 1997 at 16:51:30:

In Reply to: Geniculate Neuralgia posted by Susan Kovari on October 04, 1997 at 01:15:55:

: After receiving only partial relief from the section of the nervus intermedius
for intractable severe otalgia, it is now speculated that either the geniculate ganglion or/
CN V may be responsible. What would be the reasonable approach?

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Sorry we let this one sneak through without answering sooner. I'm not sure if you gave us more
information previously or not. I'm not sure what the exact clinical story is but if your
doctors are concerned with trigeminal neuralgic type pain then you should review the
multitude of questions previously answered in that regard. I assume that you are also taking medication
and if not a trial of tegretal should be given. This could be pushed to about 1200 mg. Other
medications to try include neurontin or baclofen. Dilantin has also be used with some relief.
There are a number of surgical options or ablative procedures but carry risks. Your best bet is
to seek an opinion at an institution that treats these types of disorders. At the CCF Dr. Barnett
in the department of neurosurgery has the most experience in that regard. For a consultation you can call 216 4445670.
This information is provided for general medical education purposes only. Please consult your physician for diagnostic
and treatment options of your specific medical condition.

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