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[Trigeminal neuralgia].

A J Brito1

  • 1Serviço de Estomatologia, Santa Casa da Misericórdia de Lisboa.

Acta Medica Portuguesa
|September 11, 1999
PubMed
Summary
This summary is machine-generated.

Facial pain, or neuralgia, can be essential or secondary. This review covers essential trigeminal neuralgia (tic douloureux) and secondary causes, detailing diagnosis and treatment options.

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Area of Science:

  • Neurology
  • Pain Medicine
  • Oral Surgery

Context:

  • Facial pain, specifically trigeminal neuralgia, presents as painful phenomena affecting brainstem or facial nerves.
  • Neuralgias are categorized as idiopathic/essential or secondary/symptomatic, with distinct clinical presentations.
  • Essential neuralgia (E.N.), or tic douloureux, is the most prevalent form of facial pain neuralgia.

Purpose:

  • To review essential trigeminal neuralgia (E.N.) and secondary trigeminal neuralgia originating from oral causes.
  • To differentiate E.N. from symptomatic neuralgia (S.N.) and establish diagnostic criteria for trigeminal neuralgia (T.N.).
  • To discuss differential diagnoses for facial pain, medical and surgical therapies, management, and complications.

Summary:

  • This paper reviews essential trigeminal neuralgia (E.N.) and secondary trigeminal neuralgia, emphasizing oral etiologies.

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  • It details diagnostic criteria for T.N., distinguishes between E.N. and S.N., and outlines various medical and surgical treatments.
  • Diagnostic imaging like CT scans and MRI are crucial for E.N. assessment. Peripheral surgery has higher relapse rates but lower morbidity than neurosurgical techniques.

    • Impact:

    • Provides a comprehensive overview of trigeminal neuralgia, aiding clinicians in diagnosis and treatment selection.
    • Highlights the importance of differentiating essential from secondary causes for effective management.
    • Informs patient and family decision-making regarding surgical interventions based on morbidity and relapse rates.