Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
What Causes Headache After Having Surgery For Acoustic Neuroma?
Question: HEADACHES RESULTING FROM NERVE DAMAGE AFTER ACOUSTIC NEUROMA SURGERY. ONE YEAR AFTER SURGERY HAD SURGICAL PROCEDURE TO NERVES TO TRY TO RELIEF HEADACHES. tHE NERVE WERE DAMAGED, AS A RESULT OF ORIGINAL SURGERY AND ARE TWISTED IN MESH IMBEDDED IN HEAD. UNFORTUNATELY THERE HAS BEEN NO RELIEF OF HEADACHES FROM SECOND SURGERY WHICH WAS PERFORMED IN XXXXXXX 2014.
Brief Answer:
Probable trigeminal neuralgia.
Detailed Answer:
I read your question carefully and I understand your concern.
Headache can be a complication after surgery from acoustic neuroma. There can be different types of headaches which have different mechanisms, so it would have been useful if you could have something more about its characteristics like location and distribution, character (stabbing, lancinating short lasting attacks or dull facial pain), exacerbating factors etc.
Since you say it has been due to nerve pain I will assume it is due to trigeminal nerve neuralgia or neuropathy.
The first steps tried in these cases is medication with drugs like carbamazepine, gabapentine, pregabalin, lamotrigine, baclofen.
Other alternative which is more invasive are percutaneus procedures, usually under local anesthesia, he can be home on the same day. They involve inserting a needle through the cheek next to the nerve and nerve block through injection of glycerol or balloon compression or use of radiofrequencies.
I remain at your disposal for further questions.
Probable trigeminal neuralgia.
Detailed Answer:
I read your question carefully and I understand your concern.
Headache can be a complication after surgery from acoustic neuroma. There can be different types of headaches which have different mechanisms, so it would have been useful if you could have something more about its characteristics like location and distribution, character (stabbing, lancinating short lasting attacks or dull facial pain), exacerbating factors etc.
Since you say it has been due to nerve pain I will assume it is due to trigeminal nerve neuralgia or neuropathy.
The first steps tried in these cases is medication with drugs like carbamazepine, gabapentine, pregabalin, lamotrigine, baclofen.
Other alternative which is more invasive are percutaneus procedures, usually under local anesthesia, he can be home on the same day. They involve inserting a needle through the cheek next to the nerve and nerve block through injection of glycerol or balloon compression or use of radiofrequencies.
I remain at your disposal for further questions.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
