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1. Trigeminal neuralgia.
Pain Pract 2009 Jul-Aug; 9(4):252-9PP

Abstract

Trigeminal neuralgia is a common cause of facial pain. It has a significant impact on the quality of life and the socioeconomic functioning of the patient. The aim of this review is to provide recommendations for medical management of trigeminal neuralgia based on current evidence. Based upon the analyses of the literature combined with experience in pain management, symptoms, assessment, differential diagnosis, and treatment possibilities of trigeminal neuralgia are described and discussed. Recommendations for pain management are given and are displayed in a clinical practice algorithm. Treatment should be multidisciplinary. Various treatment options and their risks should be discussed with the patient. The first treatment of choice is carbamazepine or oxcarbazepine. In younger patients, the first choice of invasive treatment is probably microvascular decompression. For elderly patients, radiofrequency treatment of Gasserian ganglion is recommended and the technique is described in detail.

Authors+Show Affiliations

Department of Anesthesiology and Pain Management, Maastricht University Medical Centre, Maastricht, The Netherlands. maarten.van.kleef@mumc.nlNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Practice Guideline

Language

eng

PubMed ID

19619267

Citation

van Kleef, Maarten, et al. "1. Trigeminal Neuralgia." Pain Practice : the Official Journal of World Institute of Pain, vol. 9, no. 4, 2009, pp. 252-9.
van Kleef M, van Genderen WE, Narouze S, et al. 1. Trigeminal neuralgia. Pain Pract. 2009;9(4):252-9.
van Kleef, M., van Genderen, W. E., Narouze, S., Nurmikko, T. J., van Zundert, J., Geurts, J. W., & Mekhail, N. (2009). 1. Trigeminal neuralgia. Pain Practice : the Official Journal of World Institute of Pain, 9(4), pp. 252-9. doi:10.1111/j.1533-2500.2009.00298.x.
van Kleef M, et al. 1. Trigeminal Neuralgia. Pain Pract. 2009;9(4):252-9. PubMed PMID: 19619267.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - 1. Trigeminal neuralgia. AU - van Kleef,Maarten, AU - van Genderen,Wilco E, AU - Narouze,Sem, AU - Nurmikko,Turo J, AU - van Zundert,Jan, AU - Geurts,José W, AU - Mekhail,Nagy, AU - ,, PY - 2009/7/22/entrez PY - 2009/7/22/pubmed PY - 2009/10/10/medline SP - 252 EP - 9 JF - Pain practice : the official journal of World Institute of Pain JO - Pain Pract VL - 9 IS - 4 N2 - Trigeminal neuralgia is a common cause of facial pain. It has a significant impact on the quality of life and the socioeconomic functioning of the patient. The aim of this review is to provide recommendations for medical management of trigeminal neuralgia based on current evidence. Based upon the analyses of the literature combined with experience in pain management, symptoms, assessment, differential diagnosis, and treatment possibilities of trigeminal neuralgia are described and discussed. Recommendations for pain management are given and are displayed in a clinical practice algorithm. Treatment should be multidisciplinary. Various treatment options and their risks should be discussed with the patient. The first treatment of choice is carbamazepine or oxcarbazepine. In younger patients, the first choice of invasive treatment is probably microvascular decompression. For elderly patients, radiofrequency treatment of Gasserian ganglion is recommended and the technique is described in detail. SN - 1533-2500 UR - https://www.unboundmedicine.com/medline/citation/19619267/1__Trigeminal_neuralgia_ L2 - https://doi.org/10.1111/j.1533-2500.2009.00298.x DB - PRIME DP - Unbound Medicine ER -