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[Problems of trigeminal neuralgia]
Zhurnal Nevropatologii I Psikhiatrii Imeni S.S. Korsakova (Moscow, Russia : 1952)
|January 1, 1989
Summary
Trigeminal neuralgia is a distinct disease, often caused by trigeminal nerve compression. Surgical decompression offers a primary treatment when conservative methods fail, highlighting effective therapeutic strategies.
Area of Science:
- Neurology
- Neuroscience
Context:
- Trigeminal neuralgia (TN) is a chronic pain condition affecting the trigeminal nerve.
- Over 20 years of research, including current literature, has refined understanding of TN.
- Etiology and pathogenesis of TN are increasingly understood as distinct from other conditions.
Purpose:
- To consolidate 20 years of research on trigeminal neuralgia.
- To elucidate the specific etiology and pathogenesis of TN.
- To evaluate treatment efficacy and establish a preferred therapeutic approach.
Summary:
- Trigeminal neuralgia is identified as a distinct neurological disease.
- Compression of trigeminal nerve branches or radicles is the primary cause in 93-97% of cases.
- This compression leads to a secondary paroxysmal allogenic system, explaining the effectiveness of antiepileptic drugs.
Impact:
- Establishes trigeminal neuralgia as a separate disease entity.
- Identifies nerve compression as the predominant etiology.
- Supports surgical decompression as the primary treatment for refractory cases, improving patient outcomes.