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Chronic traumatic trigeminal neuralgia

H R McFarland

    Southern Medical Journal
    |July 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Facial pain and headache classifications need revision. Recurrent frontal headaches are facial migraines, while persistent face-jaw pain after surgery indicates chronic traumatic trigeminal neuralgia.

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    Area of Science:

    • Neurology
    • Pain Medicine

    Background:

    • Current terminology for facial pain and headache lacks clarity.
    • Terms like 'atypical facial pain' and 'lower-half headache' are ambiguous and should be retired.

    Observation:

    • Recurrent, unilateral, throbbing, frontal headaches are clinically distinct.
    • Patients with a history of multiple trigeminal nerve surgeries experiencing persistent, unilateral face-jaw pain present a specific clinical picture.

    Findings:

    • The condition of recurrent unilateral, throbbing, frontal headaches should be consistently termed 'facial migraine'.
    • Persistent unilateral face-jaw pain following repeated trigeminal branch surgeries should be classified as 'chronic traumatic trigeminal neuralgia'.

    Implications:

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  • Adopting standardized terminology improves diagnostic accuracy for facial pain and headache disorders.
  • Effective treatment for chronic traumatic trigeminal neuralgia is contingent upon cessation of further surgical interventions.