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Trigeminal Neuralgia: Basic and Clinical Aspects.

Erika Ivanna Araya1, Rafaela Franco Claudino1, Elcio Juliato Piovesan2

  • 1Department of Pharmacology, Biological Sciences Sector, Federal University of Parana, Curitiba, PR, Brazil.

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Summary

Trigeminal neuralgia (TN) causes severe facial pain due to trigeminal nerve issues, often linked to neurovascular compression. Current treatments like carbamazepine have limitations, necessitating research into new therapeutic options.

Keywords:
Neuropathic orofacial paindiagnosticepidemiologypathophysiologypharmacological treatmentsymptomatology.

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Area of Science:

  • Neurology
  • Pain Medicine
  • Neurosurgery

Background:

  • Trigeminal neuralgia (TN) is a debilitating neuropathic pain condition affecting the trigeminal nerve.
  • Characterized by sudden, severe, stabbing facial pain, TN significantly impacts quality of life.
  • Neurovascular compression at the trigeminal nerve root entry zone is a primary cause of classical TN.

Purpose of the Study:

  • To review the current understanding of trigeminal neuralgia (TN) pathophysiology and clinical presentation.
  • To discuss the established treatment for TN, carbamazepine, and its limitations.
  • To highlight the urgent need for novel treatment strategies for TN.

Main Methods:

  • Literature review of trigeminal neuralgia (TN) studies.
  • Analysis of clinical features, diagnostic criteria, and treatment outcomes.
  • Examination of the role of neurovascular compression in TN etiology.

Main Results:

  • TN involves the trigeminal nerve, causing severe, episodic facial pain.
  • Triggers include light touch, temperature changes, and daily activities.
  • Persistent background pain and autonomic features predict poorer treatment outcomes.

Conclusions:

  • Carbamazepine remains the first-line treatment for TN but has dose-limiting side effects.
  • Understanding TN's diverse etiologies is crucial for effective management.
  • Further research is essential to develop safer and more effective treatments for TN.