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TREATMENT OPTIONS FOR TRIGEMINAL NEURALGIA

Trigeminal neuralgia causes severe to excruciating pain that often cannot be successfully reduced with current forms of treatment. The International Association for the Study of Pain (IASP) defines trigeminal neuralgia as a sudden, usually unilateral, powerful, short, stabbing, recurrent episode of...

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Detalles Bibliográficos
Autor principal: Radoš, Ivan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sestre Milosrdnice University Hospital and Institute of Clinical Medical Research, Vinogradska cesta c. 29 Zagreb 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9942467/
https://www.ncbi.nlm.nih.gov/pubmed/36824641
http://dx.doi.org/10.20471/acc.2022.61.s2.12
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author Radoš, Ivan
author_facet Radoš, Ivan
author_sort Radoš, Ivan
collection PubMed
description Trigeminal neuralgia causes severe to excruciating pain that often cannot be successfully reduced with current forms of treatment. The International Association for the Study of Pain (IASP) defines trigeminal neuralgia as a sudden, usually unilateral, powerful, short, stabbing, recurrent episode of pain in the distribution of one or more branches of the trigeminal nerve. Trigeminal neuralgia can be caused by vascular compression of the trigeminal nerve or a tumor process. Pressure on the nerve itself causes nerve demyelination, which is the cause of abnormal depolarization, resulting in the development of ectopic impulses. Pain can be provoked by brushing teeth, shaving, eating, cold, heat, etc. After diagnosing trigeminal neuralgia, magnetic resonance imaging should be performed to rule out multiple sclerosis, a tumor process that can secondarily cause trigeminal neuralgia. The drug of choice for treating trigeminal neuralgia is still carbamazepine. If pharmacological treatment fails, invasive surgical microvascular decompression, stereotactic radiation therapy (gamma knife), percutaneous balloon micro compression, percutaneous glycerol rhizolysis, and percutaneous radiofrequency (RF) may be used.
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spelling pubmed-99424672023-02-22 TREATMENT OPTIONS FOR TRIGEMINAL NEURALGIA Radoš, Ivan Acta Clin Croat Reviews Trigeminal neuralgia causes severe to excruciating pain that often cannot be successfully reduced with current forms of treatment. The International Association for the Study of Pain (IASP) defines trigeminal neuralgia as a sudden, usually unilateral, powerful, short, stabbing, recurrent episode of pain in the distribution of one or more branches of the trigeminal nerve. Trigeminal neuralgia can be caused by vascular compression of the trigeminal nerve or a tumor process. Pressure on the nerve itself causes nerve demyelination, which is the cause of abnormal depolarization, resulting in the development of ectopic impulses. Pain can be provoked by brushing teeth, shaving, eating, cold, heat, etc. After diagnosing trigeminal neuralgia, magnetic resonance imaging should be performed to rule out multiple sclerosis, a tumor process that can secondarily cause trigeminal neuralgia. The drug of choice for treating trigeminal neuralgia is still carbamazepine. If pharmacological treatment fails, invasive surgical microvascular decompression, stereotactic radiation therapy (gamma knife), percutaneous balloon micro compression, percutaneous glycerol rhizolysis, and percutaneous radiofrequency (RF) may be used. Sestre Milosrdnice University Hospital and Institute of Clinical Medical Research, Vinogradska cesta c. 29 Zagreb 2022-09 /pmc/articles/PMC9942467/ /pubmed/36824641 http://dx.doi.org/10.20471/acc.2022.61.s2.12 Text en https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (CC BY-NC-ND) 4.0 License.
spellingShingle Reviews
Radoš, Ivan
TREATMENT OPTIONS FOR TRIGEMINAL NEURALGIA
title TREATMENT OPTIONS FOR TRIGEMINAL NEURALGIA
title_full TREATMENT OPTIONS FOR TRIGEMINAL NEURALGIA
title_fullStr TREATMENT OPTIONS FOR TRIGEMINAL NEURALGIA
title_full_unstemmed TREATMENT OPTIONS FOR TRIGEMINAL NEURALGIA
title_short TREATMENT OPTIONS FOR TRIGEMINAL NEURALGIA
title_sort treatment options for trigeminal neuralgia
topic Reviews
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9942467/
https://www.ncbi.nlm.nih.gov/pubmed/36824641
http://dx.doi.org/10.20471/acc.2022.61.s2.12
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