• Curr Pain Headache Rep · Apr 2002

    Review

    Trigeminal neuralgia and other neuropathic pain syndromes of the head and face.

    • W Jeffrey Elias and Kim J Burchiel.
    • Department of Neurosurgery, Oregon Health and Science University, 3181 S.W. Sam Jackson Park Road, L472, Portland, OR 97201-3098, USA.
    • Curr Pain Headache Rep. 2002 Apr 1; 6 (2): 115-24.

    AbstractTrigeminal neuralgia is the most common craniofacial pain syndrome of neuropathic origin. Although the diagnosis remains based exclusively on history and symptomatology, modern diagnostic techniques, particularly high-resolution magnetic resonance imaging, provides valuable new insight into the pathophysiology of these cases with additional implications for therapeutic strategies. Other neuropathic syndromes affect the trigeminal nerve and warrant different treatments with varied rates of success. Rarely, neuralgias of other cranial nerves mimic trigeminal neuralgia. Finally, it is imperative to distinguish atypical facial pains from these neuropathic syndromes to avoid unsuccessful therapies.

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