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[Problem of neuralgia and prosopalgia]
Zhurnal Nevropatologii I Psikhiatrii Imeni S.S. Korsakova (Moscow, Russia : 1952)
|January 1, 1983
Summary
This study identifies specific tunnel neuralgias with unique symptoms requiring targeted treatment. It also clarifies that facial pains, or prosopalgias, have diverse origins and treatments, challenging traditional views on trigeminal nerve pain.
Area of Science:
- Neurology
- Pain Medicine
- Clinical Diagnostics
Context:
- Analysis of 800 patient observations with neuralgias and prosopalgias.
- Review of diagnostic terminology for trigeminal nerve neuralgias.
- Exploration of the diverse origins and clinical presentations of facial pain.
Purpose:
- To differentiate special neuralgias of tunnel origin with distinct clinical features.
- To categorize facial pains (prosopalgias) based on varied origins and therapeutic strategies.
- To critically evaluate and refute the dichotomy of central versus peripheral origin for trigeminal nerve neuralgias.
Summary:
- Identified a distinct category of paroxysmal neuralgias originating from tunnels, characterized by a pathognomic clinical picture and necessitating specific therapeutic interventions.
- Classified prosopalgias proper into groups with diverse etiologies, clinical courses, and treatment modalities, moving beyond a singular diagnostic approach.
- Demonstrated that the traditional distinction between primarily central or peripheral origins for trigeminal nerve neuralgias is not a tenable concept based on extensive patient data.
Impact:
- Provides a refined classification for specific types of neuralgias, aiding in more accurate diagnosis and treatment planning.
- Enhances understanding of facial pain heterogeneity, guiding clinicians toward tailored therapeutic strategies.
- Challenges established etiological concepts in trigeminal nerve pain, prompting a re-evaluation of diagnostic and research paradigms in neurology and pain management.