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Published on: July 5, 2011
Trigeminal Neuralgia Due to Neurovascular Conflict: A Case Report
Sourabh Shinde1, Vidya Lohe1, Swapnil Mohod1
1Department of Oral Medicine and Radiology, Sharad Pawar Dental College and Hospital, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Abstract:
A 47-year-old female patient visited the outpatient department with the complaint of "sharp shooting, radiating type of pain" on the maxillary left posterior gingiva for the last three months. The patient was advised a magnetic resonance imaging (MRI) scan which gave the radiological diagnosis of trigeminal neuralgia (TN). It also stated that the root entry zone of cranial nerve-V (CN-V) was in contact with the superior cerebellar artery and anterior inferior cerebellar artery. The patient was kept on a carbamazepine and gabapentin combination and a supportive therapy of multivitamins which brought complete remission within 1.5 months. This case report supports the combination therapy of carbamazepine and gabapentin with supportive therapy of multivitamins.
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