A Practical Review of Trigeminal Neuralgia

Trigeminal neuralgia (TN) is a highly disabling disorder characterized by very severe, brief, electric shocks, like recurrent episodes of facial pain. New diagnostic criteria classifying TN on the basis presence trigeminal neurovascular conflict or an underlying neurological can help better characterize patients and determine treatments. Magnetic resonance imaging using specific sequences should be part workup to detect possible contact exclude secondary causes. Carbamazepine oxcarbazepine are drugs first choice for long-term treatment, whereas microvascular decompression first-line surgical management medically refractory patients. This review aimed classification, clinical features, pathophysiology, approaches, TN.