Recommendations for the Management of Idiopathic Trigeminal Neuralgia
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چکیده
The Multidisciplinary Panel on Neuropathic Pain has prepared recommendations for the management of idiopathic trigeminal neuralgia (TN) to provide healthcare professionals in Hong Kong with current, accurate and useful information concerning disease management. Where possible, evidence-based reviews and comparisons were used to develop these recommendations. The recommendations were first published in 2003. The current update includes new clinical data for pharmacotherapy and surgical interventions in TN. The Recommendations for the Management of Idiopathic Trigeminal Neuralgia are the product of review and appraisal of current evidence in the medical literature. The recommendations serve to assist healthcare professionals in evaluating a patient’s condition and deciding on a suitable treatment modality. They are not intended to replace professional judgment in determining the appropriate management of individual patients. While we have taken due care in preparing the recommendations, we cannot warrant the accuracy of the PAIN MANAGEMENT
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Recommendations for the Management of Idiopathic Trigeminal Neuralgia The Multidisciplinary Panel on Neuropathic Pain* I. Pathophysiology and Prevalence
Trigeminal neuralgia (TN) is a severely painful, easily diagnosed condition, which can be managed medically in most patients. The incidence of TN is approximately 70 cases per 100,000 population. Of unknown aetiology, TN typically arises in otherwise healthy people older than 50 years and affects females twice as often as males. TN is rarely seen in patients younger than 30 years; however, if i...
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The trigeminal neuralgia is characterised by paroxysmal appearing fulgurous stabbing pain. Its medical condition is caused through a local-circumscribed demyelinisation of the trigeminal nerve with consecutive conduction of salting impulses on afferent pain fibres. It is essential to differentiate the symptomatic from the idiopathic trigeminal neuralgia. As primary management, a pharmacological...
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Background and purpose: Trigeminal neuralgia is the most common type of facial neuralgia. The pain would easily affect the quality of life according to its acute and severe nature. Treatment modalities include pharmacotherapy, microvascular decompression, and lesioning peripheral procedures targeting the trigeminal ganglion. These methods either have side effects or are partially invasive; t...
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