Management of trigeminal neuralgia and its atypical variant

Boocock, Helen and Vickers, E. Russell (2009) Management of trigeminal neuralgia and its atypical variant. Medicine Today, 10 11: 14-22.

Author Boocock, Helen
Vickers, E. Russell
Title Management of trigeminal neuralgia and its atypical variant
Journal name Medicine Today   Check publisher's open access policy
ISSN 1443-430X
Publication date 2009-11-01
Sub-type Critical review of research, literature review, critical commentary
Volume 10
Issue 11
Start page 14
End page 22
Total pages 9
Place of publication Neutral Bay, NSW, Australia
Publisher Medicine Today
Language eng
Subject 2700 Medicine
Formatted abstract
Although trigeminal neuralgia is relatively uncommon, the recurrent and sometimes chronic pain associated with the condition can result in negative psychosocial behaviours, such as anxiety and depression. Anticonvulsant drugs are first-line treatment for the classic form of trigeminal neuralgia.

• Trigeminal neuralgia is characterised by sharp paroxysmal pain radiating through the face, teeth and jaw.
• Pain from classic trigeminal neuralgia is episodic in nature, whereas atypical trigeminal neuralgia has persistent pain as its distinguishing quality.
• Anticonvulsants are the treatment of choice for the classic form of trigeminal neuralgia, with carbamazepine being the gold standard.
• Amitriptyline is first-line treatment for atypical trigeminal neuralgia.
• Several surgical and ablative procedures can be used to treat trigeminal neuralgia.
• Classic trigeminal neuralgia that is initially well controlled with a single anticonvulsant may progress to a complex pain state involving neuralgic pain, neuropathic pain, sympathetically maintained pain and/or musculoskeletal pain.
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status Unknown

Document type: Journal Article
Sub-type: Critical review of research, literature review, critical commentary
Collection: School of Dentistry Publications
 
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