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[Treatment for trigeminal neuralgia. An overview]
A Bremerich1, P Krischek-Bremerich
1Abteilung für Mund-, Kiefer- und Gesichtschirurgie Universität Ulm.
Deutsche Zeitschrift Fur Mund-, Kiefer- Und Gesichts-Chirurgie
|September 1, 1991
Summary
Effective trigeminal neuralgia treatments include nerve stimulation, medications like carbamazepine, and surgical options. Physician choice depends on patient factors and expected outcomes for optimal pain relief.
Area of Science:
- Neurology
- Pain Management
- Neurosurgery
Context:
- Trigeminal neuralgia is a chronic pain condition affecting the trigeminal nerve.
- Established treatment modalities have evolved over recent years.
- Selecting the optimal treatment requires careful consideration of multiple factors.
Purpose:
- To outline current treatment options for trigeminal neuralgia.
- To inform clinical decision-making in managing this neuropathic pain disorder.
- To highlight the factors influencing treatment selection.
Summary:
- Current treatments for trigeminal neuralgia encompass non-invasive methods like transcutaneous electrical nerve stimulation (TENS) and pharmacotherapy (e.g., carbamazepine).
- Invasive options include controlled thermocoagulation, percutaneous retrogasserian rhizotomy with glycerol, and microvascular decompression.
- Treatment selection is individualized based on patient age, health, pain characteristics, prior treatments, and potential side effects.
Impact:
- Provides a concise overview of established trigeminal neuralgia therapies.
- Supports clinicians in choosing the most appropriate treatment strategy.
- Aids patients in understanding available management options for facial pain.