Abstract
Trigeminal neuralgia is the most common form of facial neuropathic pain in the elderly.
Trigeminal neuralgia is classified as either classical trigeminal neuralgia “idiopathic” or painful trigeminal neuropathy “secondary.” Classical trigeminal neuralgia is due to neurovascular compression, while painful trigeminal neuropathy can be secondary to trauma, herpes zoster, tumor, or multiple sclerosis.
This chapter will review the pathophysiology, clinical presentations, and the diagnostic criteria of trigeminal neuralgia.
Pharmacological, interventional, and surgical options will be briefly analyzed as well.
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Suggested Reading
Cruccu G, Gronseth G, Alksne J, Argoff C, Brainin M, Burchiel K, Nurmikko T, Zakrzewska JM, American Academy of Neurology Society; European Federation of Neurological Society. AAN-EFNS guidelines on trigeminal neuralgia management. Eur J Neurol. 2008;15(10):1013–28.
Erdine S, Ozyalcin NS, Cimen A, Celik M, Talu GK, Disci R. Comparison of pulsed radiofrequency with conventional radiofrequency in the treatment of idiopathic trigeminal neuralgia. Eur J Pain. 2007;11:309–13.
Headache Classification Committee of the International Headache Society (IHS). The international classification of headache disorders. 3rd edition (beta version). Cephalalgia. 2013;33(9):629–808.
Jannetta PJ, McLaughlin MR, Casey KF. Technique of microvascular decompression. Technical note. Neurosurg Focus. 2005;18:E5.
Jorns TP, Zakrzewska JM. Evidence-based approach to the medical management of trigeminal neuralgia. Br J Neurosurg. 2007;21(3):253–61.
Lopez BC, Hamlyn PJ, Zakrzewska JM. Systematic review of ablative neurosurgical techniques for the treatment of trigeminal neuralgia. Neurosurgery. 2004;54:973–82. Discussion 982–973
Narouze S. Complications of head and neck procedures. Tech Reg Anesth Pain Manag. 2007;11:171–7.
Narouze S. Algorithms for the diagnosis and management of head and face pain. In: Narouze S, editor. Interventional management of head and face pain. New York: Springer Science + Business Media; 2014.
Rozen TD. Trigeminal neuralgia and glossopharyngeal neuralgia. Neurol Clin. 2004;22:185–206.
van Kleef M, van Genderen WE, Narouze S, Nurmikko TJ, van Zundert J, Geurts JW, Mekhail N. Trigeminal neuralgia. Pain Pract. 2009;9(4):252–9.
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Narouze, S. (2018). Trigeminal Neuralgia. In: Cheng, J., Rosenquist, R. (eds) Fundamentals of Pain Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-64922-1_27
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DOI: https://doi.org/10.1007/978-3-319-64922-1_27
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