Tag Archives: Alain C.J. de Lotbinière MD

New York neurosurgeon discusses nerve disorder and treatment

Posted on: February 18, 2014

The Suicide Disease: Trigeminal Neuralgia

By Alain C.J. De Lotbinière, MD, CM, FACS, FRCSC; Medical Director of the Gamma Knife Center and Medical Director of the Cancer Treatment and Wellness Center, Northern Westchester Hospital

Dr. de LotbiniereImagine a stabbing pain in your jaw or cheek triggered by a mere touch or breath of wind, or a constant aching, burning sensation in your face that doesn’t respond to pain killers. This is what sufferers of trigeminal neuralgia (TN) experience, and it can be so incredibly painful that trigeminal neuralgia has also been called “the suicide disease.” For many sufferers, the pain worsens during the winter months.

TN typically hits people in their 50s or older and, for reasons that aren’t completely clear, more women suffer from TN than men. While the National Institute of Neurological Disorders and Stroke puts the incidence of new cases at about 14,000 a year, I think it’s very likely that this is an underestimate because so many people have trouble getting a proper diagnosis.

The pain is usually the result of pressure on the trigeminal nerve, which transmits sensations from the face to the brain. A nearby artery can enlarge, putting pressure on the nerve and wear away its protective sheath. This leads to intermittent or constant pain signaling to the brain, and the attacks can worsen over time.

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New York Gamma Knife Surgeon on Brain Tumors

Posted on: December 2, 2013

From the Body to the Brain: Treating Metastatic Brain Tumors

By Alain C.J. de Lotbinière MD, CM, FRCSC, FACS, Medical Director of the Gamma Knife Center at Northern Westchester Hospital

Most brain tumors begin elsewhere in the body. Although there is a great deal of awareness around Breast Cancer and Lung Cancer, what most people don’t realize is that these two cancers are the most common source of aggressive, metastatic brain tumors, according to the American Brain Tumor Association. Cancers of the colon, kidneys, and skin can also spread cancer cells to the brain. That’s grim news, but neurosurgeons are finding new ways to treat brain cancer. Continue reading