Publicado 4 números por año
ISSN Imprimir: 1050-6934
ISSN En Línea: 1940-4379
Indexed in
Trigeminal Neuralgia
SINOPSIS
Trigeminal neuralgia (TN) is the most common facial neuralgia, and is considered to be one of the most painful conditions to affect patients. The rate of occurrence of TN in men and women is 2.5 and 5.7 per 100,000 per year respectively. TN is generally characterized by lancinating, unilateral, paroxysmal pain occurring in the distribution of the fifth cranial nerve. The diagnosis of TN is made clinically by excluding other possible causes of facial pain and is based on signs and symptoms from the patient history such as a trigger zone, typical unilateral lancinating paroxysms following neural disturbance, and a refractory period. Generally, TN can be diagnosed by the typical patient history, a negative neurologic exam, and response to a trial of carbamazepine. Imaging studies should be considered if the diagnosis is uncertain or neurologic abnormalities are noted.
Most cases are caused by compression of the trigeminal nerve root, usually within a few millimeters of entry into the pons. In a few cases, TN is caused by a primary demyelinating disorder. The treatment modalities for the management of TN may be divided into medical, surgical, and γ-knife radiosurgery. Generally, response to drug therapy is good, with over 80% of patients responding to some of the anticonvulsants. Percutaneous approaches to trigeminal gangliolysis are considered to have less associated risk and less cost than open surgical procedures. Three different techniques may be used to perform percutaneous destruction of the ganglion: percutaneous radiofrequency trigeminal gangliolysis (PRTG), percutaneous balloon microcompression (PBM), and percutaneous retrogasserian glycerol rhizotomy (PRGR). Open surgical procedures used in the treatment of TN include microvascular decompression of the trigeminal root and retrogasserian rhizotomy. Additionally, because both of these procedures have greater associated risks, morbidity, and mortality, they are customarily applied only to younger patients in good health. Stereotactic radiosurgery has been established as an alternative treatment for patients who do not respond to optimal medical management.
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Yen Chun-Po, Schlesinger David, Sheehan Jason P, Gamma Knife®radiosurgery for trigeminal neuralgia, Expert Review of Medical Devices, 8, 6, 2011. Crossref
-
Kang Myong-Soo, Kim Do-Wan, Kim Sung-Min, Kim Chan, Kim Young-Ki, Duration of remission phase of 36 Korean patients with glossopharyngeal neuralgia, Korean Journal of Anesthesiology, 64, 4, 2013. Crossref
-
Scully Crispian, Trigeminal and other neuralgias, in Oral and Maxillofacial Medicine, 2013. Crossref
-
Graff-Radford Steven B., Facial Pain, The Neurologist, 15, 4, 2009. Crossref
-
Rolland Yves M., Hermabessière Sophie, Abellan Gabor, Nourhashemi Fati, Bousquet Philippe, Lazorthes Yves, Vellas Bruno, STEREOTACTIC RADIOSURGERY FOR TRIGEMINAL NEURALGIA IN A 109-YEAR-OLD WOMAN, Journal of the American Geriatrics Society, 56, 8, 2008. Crossref
-
Mareque Bueno Javier, Hernández Alfaro Federico, Biosca de Tejada María José, Coll Anglada Manel, Arenaz Búa Jorge, Abordaje intraoral en el síndrome de Eagle. Presentación de un caso clínico, Revista Española de Cirugía Oral y Maxilofacial, 33, 4, 2011. Crossref
-
Stavropoulos Franci, Hastie Barbara A., Chronic Facial Pain in the Female Patient: Treatment Updates, Oral and Maxillofacial Surgery Clinics of North America, 19, 2, 2007. Crossref
-
Mourgela S., Sakellaropoulos A., Anagnostopoulou S., Middle cranial fossa endoscopy using a rigid endoscope, Minimally Invasive Therapy & Allied Technologies, 16, 6, 2007. Crossref
-
Campos Wuilker Knoner, Linhares Marcelo N., A prospective study of 39 patients with trigeminal neuralgia treated with percutaneous balloon compression, Arquivos de Neuro-Psiquiatria, 69, 2a, 2011. Crossref
-
(Sean) Lin Chia-Shiang, Cheng Jianguo, Trigeminal Nerve Blocks and Neurolysis, in Essentials of Interventional Techniques in Managing Chronic Pain, 2018. Crossref
-
LIU Hong-bing, MA Yi, ZOU Jian-jun, LI Xin-gang, Percutaneous microballoon compression for trigeminal neuralgia, Chinese Medical Journal, 120, 3, 2007. Crossref
-
Ernst A., Die chirurgische Behandlung von Gleichgewichtsstörungen, in Schwindel, 27, 2007. Crossref
-
Callai Etiane Micheli Meyer, Scarabelot Vanessa Leal, Fernandes Medeiros Liciane, Oliveira Carla, Souza Andressa, Macedo Isabel Cristina, Cioato Stefania Giotti, Finamor Fabrício, Caumo Wolnei, Quevedo Alexandre da Silva, Torres Iraci L. S., Transcranial direct current stimulation (tDCS) and trigeminal pain: A preclinical study, Oral Diseases, 25, 3, 2019. Crossref
-
Bamford Cynthia C., Cherian Neil, Treatment of Facial Pain and Neuralgias, in The Cleveland Clinic Manual of Headache Therapy, 2014. Crossref
-
Bamford Cynthia C., Cherian Neil, Treatment of Facial Pain and Neuralgias, in The Cleveland Clinic Manual of Headache Therapy, 2011. Crossref
-
de Oliveira Camila Lino, Medeiros Liciane Fernandes, de Souza Vanessa Silva, Lopes Bettega Costa, de Oliveira Fabricio Finamor, Marques Luana Xavier, da Silva Torres Iraci Lucena, de Souza Andressa, LOW-DOSE NALTREXONE REVERSES FACIAL MECHANICAL ALLODYNIA IN A RAT MODEL OF TRIGEMINAL NEURALGIA, Neuroscience Letters, 736, 2020. Crossref
-
Greve Tobias, Tonn Joerg-Christian, Mehrkens Jan-Hinnerk, Microvascular decompression for trigeminal neuralgia in the elderly: efficacy and safety, Journal of Neurology, 268, 2, 2021. Crossref
-
Roberts Veronica, Idiopathic headshaking in horses: understanding the pathophysiology, Veterinary Record, 168, 1, 2011. Crossref
-
Yadav Suman, Sonone Rajratna M, Jaiswara Chandresh, Bansal Shipra, Singh Deepak, Rathi Vidhi Chhabra, Long-term Follow-up of Trigeminal Neuralgia Patients treated with Percutaneous Balloon Compression Technique: A Retrospective Analysis, The Journal of Contemporary Dental Practice, 17, 3, 2016. Crossref