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Trigeminal Neuralgia in Advanced Head and Neck Cancer: A Complex Palliative Care Case
Carolina Vidal1, Rosário Vidal1
1Unidade de Cuidados Paliativos, Hospital do Divino Espírito Santo de Ponta Delgada, Ponta Delgada, PRT.
Cureus
|December 7, 2023
Summary
Trigeminal neuralgia (TN) is a facial pain disorder often resistant to standard treatments. This case highlights palliative care
Area of Science:
- Neurology
- Oncology
- Palliative Care
Background:
- Trigeminal neuralgia (TN) is a chronic neuropathic pain condition impacting facial sensation.
- Standard treatments like carbamazepine and oxcarbazepine are not always effective.
- Secondary TN can arise from underlying conditions such as advanced head and neck cancer.
Observation:
- A patient presented with secondary trigeminal neuralgia.
- The cause was identified as advanced head and neck cancer.
- The patient's symptoms were refractory to standard TN medications.
Findings:
- The palliative care team managed this complex case of secondary TN.
- This approach aimed to alleviate refractory neuropathic facial pain.
Implications:
- Palliative care can offer solutions for refractory trigeminal neuralgia in cancer patients.
- Multidisciplinary management is crucial for improving quality of life in advanced cancer with neuropathic pain.
