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Chapter 13 - Trigeminal Neuralgia

from Part III - Chronic Pain Conditions Head and Neck

Published online by Cambridge University Press:  01 December 2023

By
Karina Charipova  and
Kyle Gress
Edited by
Omar Viswanath  and
Ivan Urits
Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
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Summary

Trigeminal neuralgia (TN), or tic douloureux, is characterized by recurrent attacks of lancinating, neuropathic facial pain in the dermatomal distribution of the trigeminal nerve. It was first described as early as in the first century, but accurate descriptions were not documented until the 1700s. Tic douloureux refers to the distinctive facial muscle spasms associated with condition. In patients with TN, minimal stimulation (e.g., light touch, tooth brushing, chewing, talking, wind) causes debilitating pain. Mainstays of treatment include medication, surgery, and complementary approaches. Surgical management is indicated for those who have failed medical treatment with three or more medications, suffer from intolerable side effects, or have intractable symptoms.

Keywords

trigeminal neuralgiafacial paintic douloureuxconservativesurgical
Type
Chapter
Information
Cambridge Handbook of Pain Medicine , pp. 81 - 85
Publisher: Cambridge University Press
Print publication year: 2023

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References

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