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Pre-trigeminal neuralgia.

G H Fromm1, S B Graff-Radford, C F Terrence

  • 1University of Pittsburgh School of Medicine, PA 15261.

Neurology
|October 1, 1990
PubMed
Summary
This summary is machine-generated.

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Pre-trigeminal neuralgia, a prodromal pain resembling toothache, precedes typical trigeminal neuralgia. Early recognition allows for effective medication, preventing unnecessary dental procedures.

Area of Science:

  • Neurology
  • Pain Medicine

Background:

  • Trigeminal neuralgia (TN) is a debilitating neuropathic pain condition.
  • A distinct prodromal pain phase, termed pre-trigeminal neuralgia (pre-TN), may precede typical TN onset.

Observation:

  • Eighteen patients reported pre-TN symptoms like toothache or sinusitis-like pain, lasting hours and triggered by jaw movement or temperature changes.
  • This prodromal pain occurred in the same trigeminal nerve division that later developed typical TN.
  • Six additional patients with suspected pre-TN experienced complete pain relief with carbamazepine or baclofen.

Findings:

  • Pre-TN is a clinically identifiable condition preceding typical trigeminal neuralgia.
  • The characteristics of pre-TN pain (location, triggers) are consistent with later TN development.

Related Experiment Videos

  • Pharmacological treatment (carbamazepine, baclofen) can effectively manage pre-TN symptoms.

    • Implications:

    • Identifying pre-TN enables timely and appropriate medical intervention.
    • Early treatment can alleviate patient suffering and prevent misdiagnosis leading to unnecessary dental procedures.
    • Recognition of pre-TN may improve the diagnostic pathway and management of trigeminal neuralgia.