Pharmacological And Surgical Treatment Of Trigeminal Neuralgia

1409 Words Dec 5th, 2015 6 Pages
Pharmacological & Surgical Treatment of Trigeminal Neuralgia
Trigeminal Neuralgia (TN) is painful facial syndrome that can be treated through various drugs and surgical procedures. The syndrome has been defined by the International Association for the Study of Pain (IASP) as “sudden, usually unilateral, severe, brief, stabbing, recurrent pains in the distribution of one of more branches of the fifth cranial nerve” . The two primary disease types that have been observed clinically are: idiopathic, which occurs spontaneously, and lesion form- which is seen as a tumor, cyst, or multiple sclerosis. Epidemiological studies indicate that TN is a rare disease; studies showed that “incidence in women and men based on U.S. data between the years 1945 and 1984 was 5.7 and 2.5 per 100,000per year, respectively and incidence rates increased with age.” . Despite these statistics misdiagnosis was relatively common among diseased individuals and it is likely that some of these cases were in fact dental pain, sinusitis, and temporomandibular disorders. Due to diagnostic discrepancies, newer studies discovered “overall incidence was 12.6% per 100,000 person-years with a mean age of 51.5 years and a 66% female preponderance” as of 2009. Through the use of clinical evidence-based journals clinicians are able to understand more clearly the diseases pathophysiology and treat patients with this painful syndrome. In the most common type of TN, most patients experience “arterial compression of…
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