scholarly journals Comparison of Trigeminal and Postherpetic Neuralgia

1996 ◽  
Vol 1 (2) ◽  
pp. 125-129
Author(s):  
C Peter N Watson
Keyword(s):  
Trigeminal Neuralgia ◽  
Postherpetic Neuralgia ◽  
Facial Pain ◽  
Tic Douloureux ◽  
Common Causes ◽  
The Face ◽  
Lancinating Pain

Although postherpetic neuralgia and trigeminal neuralgia (tic douloureux) are common causes of facial pain, they have very little in common aside from lancinating pain (other qualities of pain in each disorder are different). Each disorder affects different areas of the face and the treatment of each is quite dissimilar. The pathogenesis of these two disorders quite likely involves different mechanisms. This report reviews aspects of these two difficult pain problems, particularly with reference to the work of the late Gerhard Fromm, to whom this is dedicated.

scholarly journals Neuralgias of the Trigeminal Nerve

2000 ◽  
Vol 5 (1) ◽  
pp. 107-113 ◽  
Author(s):  
Allan S Gordon
Keyword(s):  
Neuropathic Pain ◽  
Differential Diagnosis ◽  
Trigeminal Neuralgia ◽  
Clinical Features ◽  
Trigeminal Nerve ◽  
Postherpetic Neuralgia ◽  
Facial Pain ◽  
The Other ◽  
Atypical Facial Pain ◽  
Trigeminal Neuropathic Pain

Practitioners are often presented with patients who complain bitterly of facial pain. The trigeminal nerve is involved in four conditions that are sometimes mixed up. The four conditions - trigeminal neuralgia, trigeminal neuropathic pain, postherpetic neuralgia and atypical facial pain - are discussed under the headings of clinical features, differential diagnosis, cause and treatment. This article should help practitioners to differentiate one from the other and to manage their care.

Idiopathic Trigeminal Neuralgia: A Case Report

2018 ◽  
Vol 31 (04) ◽  
pp. 254-258
Author(s):  
Shruti Jain ◽  
Chetna Lamba
Keyword(s):  
Case Report ◽  
Pain Relief ◽  
Trigeminal Neuralgia ◽  
Facial Pain ◽  
Conventional Medicine ◽  
Positive Role ◽  
Idiopathic Trigeminal Neuralgia ◽  
Adequate Pain Relief ◽  
The Face

AbstractTrigeminal neuralgia (TN) is the most frequent type of neuropathic facial pain affecting one or more branches of trigeminal nerve. Here, a 51-year-old woman diagnosed with idiopathic trigeminal neuralgia (ITN) presented with complaints of pain over right side of the face with redness of the eyes and excessive lachrymation since 5 years with weekly acute episodes of shooting pain. Chelidonium was chiefly prescribed followed by few doses of Spigelia as per indications which provided adequate pain relief. The complaints flared up following stressful circumstances for which Pulsatilla was prescribed after detailed case taking. The frequency, duration and intensity of pain reduced after homoeopathic treatment. The need for conventional medicine was also reduced. This suggests positive role of individualised homoeopathy in the treatment of ITN. Further studies should be undertaken to evaluate the role of homoeopathy in ITN.

Facial pain and palsy

2005 ◽  
pp. 185-211
Author(s):  
Patricia Sylla
Keyword(s):  
Trigeminal Neuralgia ◽  
Facial Pain ◽  
Glossopharyngeal Neuralgia ◽  
Atypical Facial Pain ◽  
Temporomandibular Dysfunction ◽  
Anatomy And Physiology ◽  
Tic Douloureux ◽  
Pain Syndromes ◽  
Idiopathic Pain

Anatomy and physiology of pain 186 Anatomy and physiology of oro-facial pain 187 Oro-facial (idiopathic) pain syndromes 188 Overview of oro-facial pain 190 Assessment and measurement of pain 192 Temporomandibular dysfunction (TMJPDS) 196 Atypical facial pain 202 Trigeminal neuralgia ('tic douloureux') 204 Glossopharyngeal neuralgia 206...

Trigeminal Neuralgia Secondary to a Tentorial Ossification: A Case Report

Neurosurgery ◽  
1982 ◽  
Vol 11 (4) ◽  
pp. 527-529 ◽  
Author(s):  
Michael Standefer ◽  
Janet W. Bay ◽  
Donald F. Dohn
Keyword(s):  
Case Report ◽  
Trigeminal Neuralgia ◽  
Posterior Fossa ◽  
Trigeminal Nerve ◽  
Facial Pain ◽  
Atypical Facial Pain ◽  
Tic Douloureux ◽  
Sensory Root ◽  
Unusual Symptoms

Abstract The authors describe a patient who suffered from tic douloureux associated with atypical facial pain and tinnitus. All preoperative neurodiagnostic findings were normal. Posterior fossa exploration disclosed a tentorial ossification compressing the sensory root of the trigeminal nerve. Ossification within the tentorium and the implications of unusual symptoms associated with trigeminal neuralgia are discussed.

scholarly journals Trigeminal neuralgia and persistent idiopathic facial pain

2012 ◽  
pp. 76-87
Author(s):  
Mark Obermann ◽  
Dagny Holle ◽  
Zaza Katsarava
Keyword(s):  
Trigeminal Neuralgia ◽  
Facial Pain ◽  
Persistent Idiopathic Facial Pain ◽  
Randomized Controlled Clinical Trials ◽  
Randomized Controlled ◽  
Epidemiologic Evidence ◽  
Clinical Investigations ◽  
Background Pain ◽  
The Face ◽  
Underlying Pathophysiology

Trigeminal neuralgia (TN) and persistent idiopathic facial pain (PIFP) are two of the most puzzling orofacial pain conditions and affected patients often are very difficult to treat. TN is characterized by paroxysms of brief but crucial pain, followed by asymptomatic periods without pain. In some patients a constant dull background pain may persist. This constant dull pain sometimes makes the distinction from PIFP difficult. PIFP is defined as continuous facial pain, typically localized in a circumscribed area of the face, which is not accompanied by any neurological or other lesion identified by clinical examination or clinical investigations. The pain usually does not stay within the usual anatomic boundaries of the trigeminal nerve distribution and is a diagnosis of exclusion. Epidemiologic evidence on TN and even more so on PIFP is quite scarce, but generally both conditions are considered to be rare diseases. The aetiology and underlying pathophysiology of TN and more so PIFP remain unknown. Treatment is based on only few randomized controlled clinical trials and insufficiently evaluated surgical procedures.

HISTORICAL CHARACTERIZATION OF TRIGEMINAL NEURALGIA

Neurosurgery ◽  
2009 ◽  
Vol 64 (6) ◽  
pp. 1183-1187 ◽  
Author(s):  
Paula Eboli ◽  
James L. Stone ◽  
Sabri Aydin ◽  
Konstantin V. Slavin
Keyword(s):  
Trigeminal Neuralgia ◽  
Facial Pain ◽  
John Locke ◽  
Neurovascular Compression ◽  
Ancient Greek ◽  
The Past ◽  
John Hunter ◽  
The Face ◽  
Neurological Surgeon

Abstract TRIGEMINAL NEURALGIA IS a well known clinical entity characterized by agonizing, paroxysmal, and lancinating facial pain, often triggered by movements of the mouth or eating. Historical reviews of facial pain have attempted to describe this severe pain over the past 2.5 millennia. The ancient Greek physicians Hippocrates, Aretaeus, and Galen, described kephalalgias, but their accounts were vague and did not clearly correspond with what we now term trigeminal neuralgia. The first adequate description of trigeminal neuralgia was given in 1671, followed by a fuller description by physician John Locke in 1677. André described the convulsive-like condition in 1756, and named it tic douloureux; in 1773, Fothergill described it as “a painful affection of the face;” and in 1779, John Hunter more clearly characterized the entity as a form of “nervous disorder” with reference to pain of the teeth, gums, or tongue where the disease “does not reside.” One hundred fifty years later, the neurological surgeon Walter Dandy equated neurovascular compression of the trigeminal nerve with trigeminal neuralgia.

Carbamazepine and other drugs for facial pain

1966 ◽  
Vol 4 (8) ◽  
pp. 29-31
Keyword(s):  
Trigeminal Neuralgia ◽  
Facial Pain ◽  
Tic Douloureux ◽  
New Drug ◽  
Facial Neuralgia ◽  
Precise Diagnosis

Trigeminal neuralgia (tic douloureux) is one of the severest types of facial pain. Carbamazepine (Tegretol - Geigy) is a new drug that helps many patients with trigeminal neuralgia, but not those with other facial pain. Precise diagnosis is therefore particularly important and trigeminal neuralgia should be distinguished from migrainous, post-herpetic and atypical facial neuralgia.

scholarly journals Refractory Trigeminal Neuralgia: Successful Treatment with LINAC Based Stereotactic Radiosurgery (SRS): First Case in Bangladesh

2020 ◽  
Vol 10 (1) ◽  
pp. 123-129
Author(s):  
Taohida Yasmin ◽  
Narendra Kumar ◽  
Sandip K Das ◽  
Murugan Appasamy ◽  
KM Masud Rana ◽  
...  
Keyword(s):  
Trigeminal Neuralgia ◽  
Trigeminal Nerve ◽  
Pain Control ◽  
Pain Syndrome ◽  
Safe Procedure ◽  
Non Invasive ◽  
First Case ◽  
The Face ◽  
Lancinating Pain

Purpose: To present first case of refractory trigeminal Neuralgia treated with SRS in Bangladesh, procedural technique, and outcomes in terms of pain relief. Background: Trigeminal neuralgia (TN), classically known as tic doloureaux is a chronic and recurrent disabling pain syndrome, which described as episodes of lancinating pain over the face along the sensory distribution of trigeminal nerve. First line management of TN is medical with different permutation & combination to control the pain. After the failure of medical management, non-invasive SRS is an established modality to achieve long term pain control. Here, we are reporting a case of TN treated with LINAC based SRS. Case Presentation: A 61 years old, gentleman who developed piercing pain inside his left eye for a duration 1-1.5 sec, precipitated while shaving, brushing teeth in year 2015, occurred 4-5 time a day. He was diagnosed as left TN of V1, started on Carbamazepine, Pregabalin. In 3 years, pain progressed to involve all 3 branches. Even combination Carbamazepine, Gabapentin, Tramadol, Amitriptyline, Clonazepam, & Morphine could not control the pain. Pain was persisting all over the day and he also developed suicidal tendency. Later he has been referred to us for SRS. SRS was done in April-2019, a dose of 90Gy was delivered to the Distal Retrogasserian (RG) also called Marseille point of trigeminal nerve root. Eight months after the SRS patient is almost free of pain without any Medicine. Conclusions: LINAC based SRS is a non-invasive, frameless, and safe procedure with excellent pain control for refractory Trigeminal neuralgia. Bang. J Neurosurgery 2020; 10(1): 123-129

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