Trigeminal Neuralgia
Ronald Brisman, M.D.


About Ronald Brisman, M.D.

Dr. Ronald Brisman is a neurosurgeon who is recognized nationally and  internationally as an expert on Trigeminal Neuralgia. He has performed more than 2500 operations for Trigeminal Neuralgia -- Gamma Knife radiosurgery (GKRS), needle rhizotomies (radiofrequency, glycerol or balloon) and microvascular decompression (MVD) -- with excellent results and an extremely low complication  rate. His success reflects his philosophy of maximizing pain relief and minimizing complications.

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Trigeminal Neuralgia Information:


  • Trigeminal Neuralgia is an uncommon condition associated with agonizing face pain that makes it difficult to talk or eat. Additional extreme discomfort may be associated with the fear that such pain may recur, often at unpredictable moments.
  • Much can be done to help patients who suffer from Trigeminal Neuralgia.
  • The best over-all medical care for patients with Trigeminal Neuralgia requires expertise in diagnosis, imaging (MRI scan), treatment with medicines, and neurosurgical operations, including microvascular decompression (MVD), Gamma Knife radiosurgery (GKRS), and needle rhizotomies (radiofrequency electrocoagulation [RFE], glycerol and balloon microcompression).
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New Material on Trigeminal Neuralgia

Opioids (narcotics) are not effective for relieving trigeminal neuralgia.

Carbamazepine (Tegretol) and oxcarbazepine (Trileptal) are more likely to cause unpleasant side effects in women than men.

Carbamazepine is a rare cause of hypertension.

Very long follow-up after minimally invasive treatment.

A recent article reports that Gamma Knife Radiosurgery (GKRS) is safe and effective for long term treatment of trigeminal neuralgia.

Hyponatremia (low sodium level in the blood) can make you ill and may be caused by oxcarbazepine (Trileptal) or carbamazepine (Tegretol).

Legal issues about trigeminal neuralgia: causation and malpractice

A second or third Gamma Knife radiosurgery procedure for recurrent trigeminal neuralgia can provide safe and effective relief for most patients.

Pregnancy and Trigeminal Neuralgia: Medicines for trigeminal neuralgia and their effects on pregnancy including a new FDA recommendation

Warning about gabapentin (Neurontin), oxcarbazepine (Trileptal) and trigeminal neuralgia…

Dr. Ronald Brisman recently testified successfully as an expert witness on behalf of a dentist who was accused of causing the patient’s trigeminal neuralgia…

Oxtellar XR (oxcarbazepine extended release tablet) is a new long-acting form of oxcarbazepine (Trileptal)…

Dr. Ronald Brisman spoke at the 17th International Meeting of the Leksell Gamma Knife Society…

How many in the USA have trigeminal neuralgia?

Dementia (cognitive impairment) associated with trigeminal neuralgia.

Disclaimer: The above information is provided for educational purposes only and is not to be regarded as specific advice for any particular patient. Patients are advised to see an appropriate physician for diagnosis and treatment of their condition or to make an appointment to see Dr. Ronald Brisman (Tel: 212-305-5285; Email:
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