DOI: http://dx.doi.org/10.18203/2319-2003.ijbcp20193189

Trigeminal neuralgia: recent approach in classification, diagnosis and management

Arvind Narwat, Anjali Sindhu, Suneel Kumar

Abstract


Pain and fear of pain continue to be the commonest and strongest motivation for the people to seek facial pain treatment. Pain is a personal experience of the sufferer that cannot be shared and wholly belongs to the sufferer. Trigeminal neuralgia (TN) is a notable facial pain disorder resulting in periodic severe pain that produces one of the most severe kinds of pain known to mankind. Treatment of this debilitating condition may be varied, ranging from medical to surgical interventions. However antiepileptic drugs are commonly used for its treatment. This article brings out the recent approaches in diagnosis and treatment of trigeminal neuralgia.


Keywords


Botulinum toxin, Drug treatment, Microvascular decompression, Pregabalin, Surgical treatment, Trigeminal neuralgia

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References


Merskey H, Albefessard DC, Bonica JJ. Pain terms -A list with definitions and notes usage. Pain. 1979;6:249-52.

Headache Classification Committee of the International Headache Society (HIS). The international classification of headache disorders. 3rd edi. Cephalalgia. 2013;33(9):629-808.

Rose FC. Trigeminal neuralgia. Arch Neurol. 1999;56:1163-4.

Woolfall P, Coulthard A. Pictorial review: trigeminal nerve: anatomy and pathology. Br J Radiol. 2001;74(881):458-67.

Penman J. Trigeminal neuralgia. In: Vinken PJ, Bruyn GW, editors. Handbook of Clinical Neurology. 5th Ed. Amsterdam: North-Holland Publishing Company;1968: 296-322.

Hall GC, Carroll D, McQuay HJ. Primary care incidence and treatment of four neuropathic pain conditions: A descriptive study, 2002-2005. BMC Fam Pract. 2008;9:1-9.

Zakrzewska JM. Diagnosis and differential diagnosis of trigeminal neuralgia. Clin J Pain. 2002;18(1):14-21.

Toda K. Etiology of Trigeminal neuralgia. Oral Sci Int. 2007:10-8.

White JC, Sweet WH. Pain and the neurosurgeon. A forty year experience. Springfield 3rd ed Charles C Thomas:1969:123-256.

Headache classification subcommittee of international classification of headache disorders. Cephalalgia. 2004;1:9-160.

Headache classification subcommittee of the interational headache society(IHS). The international classification of headache disorders, third edition beta version. Cephalalgia. 2013;33:629-808.

Yokono A, Yokono S, Ogli K, Yamanobe K. A case of hysterical conversion manifested by pain in face and head. Masui. 1991;40:306-12.

Yoshino N, Akimoto H, Nagaoka T, Honda E, Nakamura S. Trigeminal neuralgia. Evaluation of neuralgic manifestation and site of neurovascular compression with 3D CISS MR imaging. Radiol. 2003;228:539-45.

Patel NK, Aquilina K, Clarke Y, Renowden SA. How accurate is magnetic resonance angiography in predicting neurovascular compression in patients with trigeminal neuralgia? A prospective single-blinded comparative study. Br J Neurosurg. 2003;17:60-4.

Zakrzewska JM. Diagnosis and differential diagnosis of trigeminal neuralgia. Clin J Pain. 2002;18(1):14-21.

Zhang J, Yang M, Zhou M, He L, Chen N, Zakrzewska JM. Non- antiepileptics drugs for trigeminal neuralgia. The Cochrane Database of Systematic Reviews. 2013;12:CD004029.

Barker FG, Jannetta PJ. Trigeminal numbness and tic relief after microvascular decompression for typical trigeminal neuralgia. J Neurosurg. 1997;1:39-45.

Zakrzewska JM, Akram H. Neurosurgical interventions for the treatment of classical trigeminal neuralgia. The Cochrane Database of Systematic Reviews. 2011;9:CD007321.

Delzell JE, Grelle AR. Trigeminal neuralgia. New treatment options for a well-known cause of facial pain. Arch Fam Med. 1999;8(3):264-68.

Katzung BG, Masters SB, Trevor AJ. In: Basic and clinical pharmacology. 13th Ed London: McGraw-Hill:2012:545-7.

Rang HP Dale MM, Riller JM, Flower RJ, Henderson, In Rang and Dales Pharmacology 7th Ed. Elsevier Churchill Livingstone. 2012:543-49.

Zakrzewska JM. Medical management of trigeminal neuropathic pains. Expert Opin Pharmacother. 2010;11(8):1239-54.

Canavero S, Bonicalzi V, Ferroli P, Zeme S, Montalenti E, Benna P. Lamotrigine control of idiopathic trigeminal neuralgia. J Neurol, Neurosurg Psychol. 1995;59(6):646.

Wang QP, Bai M. Topiramate versus carbamazepine for the treatment of classical trigeminal neuralgia. A meta-analysis. CNS Drugs. 2011;25(10):847-57.

Khan O.A. Gabapentin relieves trigeminal neuralgia in multiple sclerosis patients. Neurol. 1998;51(2):611-14.

Fromm GH, Terrence CF. Comparison of L-baclofen and racemic baclofen in trigeminal neuralgia. Neurol. 1987;3(11):1725-8.

Vilming S, Lyberg T, Lataste X. Tizanidine in the management of trigeminal neuralgia. Cephalalgia. 1986;6(3):181-2.

Lechin F, Lechin ME, Amat J, Lechin AE, Cabrera. Pimozide therapy for trigeminal neuralgia. Archives Neurol. 1989;46(9):960-3.

Cruccu G, Truini A. Refractory trigeminal neuralgia. Non-surgical treatment options. CNS Drugs. 2013;27(2):91-6.

Lindstrom P, Lindblom U. The analgesic effect of tocainide in trigeminal neuralgia. Pain. 1987;28(1):45-50.

Ali FM, Prasant M, Pai D, Aher A., Kar S, Safiya T. Peripheral neurectomies: A treatment option for trigeminal neuralgia in rural practice. J Neurosci Rural Pract. 2012;3(2):152-7.

104. Lloyd JW, Barnard JD, Glynn CJ. Cryoanalgesia. A new approach to pain relief. The Lancet. 1976;2(7992):932-4.

Peters G, Nurmikko TJ. Peripheral and gasserian ganglion-level procedures for the treatment of trigeminal neuralgia. The Clin J of Pain. 2002;18(1):28-34.

Fardy MJ, Zakrzewska JM, Patton DW. Peripheral surgical techniques for the management of trigeminal neuralgia-Alcohol and glycerol injections. Acta Neurochir. 1994;129(3):181-4.

Sweet WH, Wepsic JG. Controlled thermocoagulation of trigeminal ganglion and rootlets for differential destruction of pain fibers. Trigeminal neuralgia. J Neurosurg. 1974;40(2):143-56.

Jannetta PJ. Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. J Neurosurg. 1967;26(1):159-62.

Bohluli B, Motamedi MH, Bagheri SC, Bayat M, Lassemi E, Navi F et al. Use of botulinum toxin A for drug-refractory trigeminal neuralgia. Preliminary report. Oral Surg, Oral Med, Oral Pathol, Oral Radiol, Endod. 2011;111(1):47-50.

Merskey H, Bogduk N. Classification of chronic pain 2nd Ed. Seattle Task Force on Taxonomy of the IASP. 1994;59-60.

Treede RD, Jensen TS, Campbell JN, Cruccu G, Dostrovsky JO. Neuropathic pain: redefinition and a grading system for clinical and research purposes. Neurol. 2008;70:1630-5.

Zakrzewska JM, Linskey ME. Trigeminal neuralgia. Br Med J. 2014;348:474.