作者
Mark R Jones, Ivan Urits, Ken P Ehrhardt, John N Cefalu, Julia B Kendrick, Daniel J Park, Elyse M Cornett, Alan D Kaye, Omar Viswanath
发表日期
2019/10
来源
Current pain and headache reports
卷号
23
页码范围
1-7
出版商
Springer US
简介
Purpose of Review
Trigeminal neuralgia (TN) is characterized by recurrent attacks of lancinating facial pain in the dermatomal distribution of the trigeminal nerve. TN is rare, affecting 4 to 13 people per 100,000.
Recent Findings
Although there remains a debate surrounding the pathogenesis of TN, neurovascular compromise is the most currently accepted theory. Minimal stimulation caused by light touch, talking, or chewing can lead to debilitating pain and incapacitation of the patient. Pain may occur sporadically, though is primarily unilateral in onset. The diagnosis is typically determined clinically. Treatment options include medications, surgery, and complementary approaches.
Summary
Anti-epileptic and tricyclic antidepressant medications are first-line treatments. Surgical management of patients with TN may be …
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MR Jones, I Urits, KP Ehrhardt, JN Cefalu, JB Kendrick… - Current pain and headache reports, 2019