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Revista de la Asociación Médica del Centro Médico ABC

2012, Number 1

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An Med Asoc Med Hosp ABC 2012; 57 (1)

Trigeminal neuralgia

García HMG, Sánchez RJP, Tenopala VS

Language: Spanish
References: 51
Page: 39-47
PDF size: 96.42 Kb.


ABSTRACT

Background: Trigeminal neuralgia is defined by the International Association for the Study of Pain (IASP) as a paroxistic, unilateral, severe, penetrant pain of short duration and localized in the distribution of one or several trigeminal nerve branches. It can be idiopathic or symptomatic secondary. Its prevalence is high and has grown along with the expectation of life. It constitutes 89% of facial pain and affects mainly persons over 60 years. Anatomy: Trigeminal nerve (the fifth nerve) is the largest of the cranial nerves. Contains sensory and motor fibres has three major branches: the ophthalmic nerve (sensory), the maxillary nerve (sensory) and the mandibular nerve (sensory and motor). Diagnosis: Is made clinically, physical and neurogical examination. There is no specific investigation or tests to diagnose Trigeminal Neuralgia. CT scan or an MRI is conducted only for other pathology (secondary neuralgia). Treatment: It is multimodal, starting use anticonvulsants, antidepressants, opioids, and others like nerve block, cryotherapy, peripheral radiofrequency thermocoagulation.


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