scholarly journals Clinical Statistics of Trigeminal Neuralgia Based on the International Classification of Orofacial Pain (1st Edition)

2021 ◽  
Vol 27 (1) ◽  
pp. 1-6
Author(s):  
Souichirou TADOKORO ◽  
Noboru NOMA ◽  
Daiki TAKANEZAWA ◽  
Kana OZASA ◽  
Akiko OKADA ◽  
...  
2020 ◽  
Vol 4 (35) ◽  
pp. 40-46
Author(s):  
N. V. Latysheva ◽  
E. G. Filatova ◽  
Al. B. Danilov ◽  
R. R. Parsamyan ◽  
E. A. Salina

The diagnosis and treatment of orofacial pain is in many cases a complex task due to difficulties in history taking, multi‑faceted pathology, psychiatric comorbidities and psychosocial factors involved in such pain. Neurologists tend to overdiagnose trigeminal neuralgia. However, other types of neuropathiс orofacial pain are also common. Moreover, neurologists are often unfamiliar with the temporomandibular disorder and tend to neglect this extremely prevalent cause of orofacial pain. Correct understanding of the causes of orofacial pain is vital not only for treatment selection, but also to minimize the risk of adverse events associated with unnecessary madications. Moreover, untreated orofacial pain often becomes chronic and treatment resistant. Many patients in this case would require physical therapy, pharmacological treatments, cognitive behavioral therapy and other support options. The aim of this paper is to review the new International classification of orofacial pain as well as the prevalence, pathophysiology and treatment of the temporomandibular disorder, trigeminal neuralgia, persistent idiopathic facial pain, burning mouth syndrome and other forms of orofacial pain.


2020 ◽  
pp. 28-29
Author(s):  
Paulo Cesar Rodrigues Conti ◽  
Juliana Stuginski Barbosa ◽  
Leonardo R Bonjardim ◽  
Daniela Aparecida de Godoi Gonçalves

Editorial


Author(s):  
Maria Pigg ◽  
Donald R. Nixdorf ◽  
Alan S. Law ◽  
Tara Renton ◽  
Yair Sharav ◽  
...  

2020 ◽  
Vol 3 ◽  
pp. 251581632096278
Author(s):  
Noboru Imai ◽  
Asami Moriya ◽  
Eiji Kitamura

The International Classification of Orofacial Pain (ICOP) classifies orofacial pain resembling primary headache as orofacial migraine and tension-type, trigeminal autonomic, and neurovascular orofacial pain. We used the ICOP classification style to make a diagnosis on a 76-year-old woman with orofacial pain, which developed only during sleep three times per week, caused awakening, and lasted 3–4 h without cranial autonomic symptoms or restlessness. Except for the pain area, her symptoms fulfilled the diagnostic criteria for hypnic headache. We diagnosed her with orofacial pain resembling hypnic headache. We should review the cases of such patients and classify them according to the ICOP.


2020 ◽  
Vol 83/116 (6) ◽  
pp. 602-607
Author(s):  
Pavel Řehulka ◽  
Julie Bartáková ◽  
Markéta Hudečková ◽  
Tomáš Filipovský ◽  
Rudolf Kotas ◽  
...  

Author(s):  
Daniel Chavarría-Bolanos ◽  
Amaury Pozos-Guillén ◽  
Mauricio Montero-Aguilar

In 2020, two important changes were adapted by the international health community: a new definition of pain and a new classification for orofacial pain conditions. With these changes new tasks and challenges also emerged, and clinicians from several disciplines begun to adopt and reconsidered classic paradigms, and the policies derived from them. This new perspective article, examine the new definition of pain proposed by the International Association for the Study of Pain, and the new International Classification of Orofacial Pain; analyzing the positive impact and further perspectives of these.


Cephalalgia ◽  
2014 ◽  
Vol 35 (4) ◽  
pp. 291-300 ◽  
Author(s):  
Stine Maarbjerg ◽  
Morten Togo Sørensen ◽  
Aydin Gozalov ◽  
Lars Bendtsen ◽  
Jes Olesen

Introduction We aimed to field-test the beta version of the third edition of the International Classification of Headache Disorders (ICHD-3 beta) diagnostic criteria for classical trigeminal neuralgia (TN). The proposed beta draft of the 11th version of the International Classification of Diseases (ICD-11 beta) is almost exclusively based on the ICHD-3 beta classification structure although slightly abbreviated. We compared sensitivity and specificity to ICHD-2 criteria, and evaluated the needs for revision. Methods Clinical characteristics were systematically and prospectively collected from 206 consecutive TN patients and from 37 consecutive patients with persistent idiopathic facial pain in a cross-sectional study design. Results: The specificity of ICHD-3 beta was similar to ICHD-2 (97.3% vs. 89.2%, p = 0.248) and the sensitivity was unchanged (76.2% vs. 74.3%, p = 0.134). The majority of false-negative diagnoses in TN patients were due to sensory abnormalities at clinical examination. With a proposed modified version of ICHD-3 beta it was possible to increase sensitivity to 96.1% ( p < 0.001 compared to ICHD-3 beta) while maintaining specificity at 83.8% ( p = 0.074 compared to ICHD-3 beta). Conclusion ICHD-3 beta was not significantly different from ICHD-2 and both lacked sensitivity. A modification of the criteria improved the sensitivity greatly and is proposed for inclusion in the forthcoming ICHD-3.


Cephalalgia ◽  
2005 ◽  
Vol 25 (9) ◽  
pp. 689-699 ◽  
Author(s):  
K Zebenholzer ◽  
C Wöber ◽  
M Vigl ◽  
P Wessely ◽  
CL Wöber-Bingöl

The aim of this study was to examine the diagnostic spectrum of facial pain and to evaluate the clinical features relevant to the differential diagnosis in a neurological tertiary care centre. This is the first investigation comparing the first with the second edition of the International Classification of Headache Disorders (ICHD-I, ICHD-II) in consecutively referred patients comprising a broad spectrum of disorders without restricting the inclusion to certain diagnoses. Studying 97 consecutive patients referred for facial pain, we found trigeminal neuralgia or other types of cranial neuralgia in 38% and 39% according to ICHD-I and ICHD-II, respectively; persistent idiopathic facial pain was diagnosed in 27% and 21%, respectively. The proportion of patients who could not be classified was 24% in ICHD-I and 29% in ICHD-II. Six per cent of the patients had cluster headache or chronic paroxysmal hemicrania, the remaining 5% had various other disorders. The agreement between ICHD-I and ICHD-II was very good to perfect. In ICHD-II, sensitivity and specificity were similar to ICHD-I, the specificity and negative predictive value were imrpoved in single features of trigeminal neuralgia, but were widely unchanged in persistent idiopathic facial pain. The number of patients who could not be classified was larger in ICHD-II than in ICHD-I. Modifying the diagnostic criteria for different types of facial pain, in particular changes in the criteria of persistent idiopathic facial pain, might be helpful in reducing the number of patients with unclassifiable facial pain.


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