Trigeminal Neuralgia

This condition presents with facial pain. This usually involves the cheek and jaw and less likely the forehead. This is caused when the fifth cranial nerve (Trigeminal nerve) is compressed by a bloodvessel in the brainstem. It can also be caused by tumours compressing the nerve. Pain can be precipitated by chewing, talking and touching the face. The pain can be severe and debilitating. Often patients would be misdiagnosed with a dental problem.

Treatment for trigeminal neuralgia is usually with medication (Tegretol)

If this fails an injection of the nerve can be done.

Surgery is reserved for resistant cases and involves a craniotomy. The nerve and the blood vessel is separated and a Teflon patch is positioned between the nerve and the blood vessel.

This procedure has a high success rate.


Dr MJD Jacobsohn qualified in 2007 at the University of Cape Town. He then completed an AO spinal fellowship at the Spinal Unit of Groote Schuur Hospital. He started full time private practice at Mediclinic Vergelegen in 2009 when he joined the established practice of Dr LS Wessels as his associate. A comprehensive range of cranial and spinal neurosurgical pathology are managed by Dr Jacobsohn.


physical address Block 2, Room 9, Mediclinic Vergelegen, Main Road, Somerset West, 7130

telephone number Tel: +27 (0)21 840 7002