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VOLUME 1 , ISSUE 1 ( April-June, 2010 ) > List of Articles

REVIEW ARTICLE

Trigeminal Neuralgia: Current Concepts in the Medical Management

E Ceena Denny, K Jeena Priya

Citation Information : Ceena Denny E, Jeena Priya K. Trigeminal Neuralgia: Current Concepts in the Medical Management. World J Dent 2010; 1 (1):43-46.

DOI: 10.5005/jp-journals-10015-1008

Published Online: 01-06-2010

Copyright Statement:  Copyright © 2010; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Trigeminal neuralgia (TN), also known as tic douloureux, is characterized by recurrent attacks of lancinating pain in the trigeminal nerve distribution. Typically, brief attacks are triggered by talking, chewing, teeth brushing, shaving, a light touch, or even a cool breeze. The pain is nearly always unilateral, and it may occur repeatedly throughout the day. The condition is characterized by intermittent one-sided facial pain. Trigeminal neuralgia can be classified based on the symptoms as typical and atypical trigeminal and according to etiology as primary or idiopathic and secondary or symptomatic. An early and accurate diagnosis of TN is important, because therapeutic interventions can reduce or eliminate pain attacks in the large majority of TN patients. Although various drugs have been used in the management of TN such as baclofen, gabapentin, phenytoin sodium, carbamazepine remains the gold standard drug of choice. Surgical approaches to pain management are performed when medication cannot control pain or patients cannot tolerate the adverse effects of the medication.


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  1. Classification of chronic pain: Description of chronic pain syndromes and definition of pain terms (2nd ed). IASP Press, Seattle, 1994.
  2. Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain (1st ed). Cephalalgia 1988;8 suppl:1-96.
  3. The extent works of Aretaeus, the Cappadocian. London: Sydenham Society, 1856.
  4. Avicenna and trigeminal neuralgia. J Neurol Sci 1965;2:105-07.
  5. Observations. College et. de l’ Academie Royale de Chururgie. Paris: Delaguette; 1756.
  6. Of a painful affection of the face. London: Medical Society of London, 1776.
  7. Etiology of trigeminal neuralgia. Oral Science International 2007;4.
  8. The international classification of headache disorders (2nd ed). Cephalalgia 2004;24(Suppl 1):9-160.
  9. Trigeminal Neuralgia; Current Concepts Regarding Etiology and Pathogenesis. Arch neurol Nov 1984;41:1204-07.
  10. Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984. Ann Neurol 1990;27(1):89-95.
  11. Diagnosis of trigeminal neuralgia: A new appraisal based on clinical and neurophysiological findings. In: Cruccu G, Hallett M (Eds). Brainstem Function and Dysfunction. Amsterdam, the Netherlands: Elsevier, 2006;171-86.
  12. Trigeminal Neuralgia: Symptoms, Diagnosis, Classification and Related disorders. Oral Science International: May 2009:9.
  13. Carbamazepine for acute and chronic pain. Cochrane Database Syst Rev 2005;(3): CD005451.
  14. Anticonvulsant drugs for management of pain: A systematic review. BMJ 1995;311:1047-52.
  15. Oxford textbook of clinical pharmacology and drug therapy (2nd ed). Oxford: Oxford University Press 1992:433-36, 443-44, 529-717.
  16. Baclofen in the treatment of trigeminal neuralgia: Double-blind study and long-term follow-up, Ann Neurol Mar 1984;15(3):240-44.
  17. Trigeminal neuralgia and its management. BMJ Jan 27, 2007;334 (7586):201-05.
  18. Lamotrigine control of idiopathic trigeminal neuralgia. J Neurol Neurosurg Psychiatry Dec 1995;59(6):646
  19. The use of clonazepam in the treatment of tic douloureux a preliminary report. Proc Aust Assoc Neurol 1976;13:119-22.
  20. Orofacial pain. Chapter 7, In Text book of Oral Medicine, Oral Diagnosis and Oral Radiology. Ravikiran, Dr. Praveen B.N Dr. (Eds). Elsevier Science Publication, New Delhi (1st ed), 2010;144-45.
  21. Treatment of trigeminal neuralgia with low doses of topiramate. Arq. Neuro-Psiquiatr. Sept 2007;65(3).
  22. Efficacy of pregabalin in the treatment of trigeminal neuralgia Cephalalgia. Feb 2008;28(2):174-81.
  23. SUNCT Syndrome. A case of transformation from trigeminal neuralgia? Cephalgia 1994;14;168-70.
  24. Drugs effective in the therapy of the epilepsies. The pharmacological basis of therapeutics (8th ed). Toronto: Mcgraw-Hill, 1992:436-62.
  25. Subcutaneous sumatriptan for refractory trigeminal neuralgia. Headache. 2006; 46(4):577-582.
  26. Intranasal lidocaine 8% spray for second-division trigeminal neuralgia. Br J Anaesth. 2006;97(4):559-63. Epub 1 Aug, 2006.
  27. Trigeminal Neuralgia New Treatment Options for a well-known Cause of Facial Pain Arch Fam Med. 1999;8:264-68.
  28. An open study of botulinum: A toxin treatment of trigeminal neuralgia. Neurology 2005;65(8):1306-08.
  29. Percutaneous retrogasserian glycerol rhizotomy for tic douloureux, part I: Technique and results in 112 patients. Neurosurgery 1984;14:424-30.
  30. Balloon compression rhizolysis in the surgical management of trigeminal neuralgia. Neurosurgery 1987;20:908
  31. Trigeminal neuralgia: Historical notes and current concepts Neurologist. Mar 2009;15(2):87-94.
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