Abstract:
Temporary, sudden, shooting and recurrent unilateral facial pain in the supply area of one or more trigeminal nerve branches characterises trigeminal neuralgia. Innocuous stimuli trigger the pain, e.g. chewing, speaking or brushing teeth. In some patients, paroxysms superimpose on continuous pain. In aetiological terms, idiopathic, classic (due to neurovascular compression) and secondary trigeminal neuralgia (e.g. due to multiple sclerosis, brainstem ischaemia and space-occupying lesions) are defined. Many drugs may be efficacious, with carbamazepine being first-choice therapy. However, non-pharmacological and invasive procedures may also help. To reach the correct diagnosis and determine the best therapeutic measures, adequate pain characterisation and interdisciplinary collaboration are essential. We hereby present our experience of an interdisciplinary approach for the diagnosis and treatment of trigeminal neuralgia.
摘要:
临时,突然,在一个或多个三叉神经分支的供应区域射击和复发性单侧面部疼痛是三叉神经痛的特征。无害的刺激引发疼痛,例如咀嚼,说话或刷牙。在一些患者中,阵发叠加在持续的疼痛上。在病因学方面,特发性,经典(由于神经血管压迫)和继发性三叉神经痛(例如,由于多发性硬化症,定义了脑干缺血和占位性病变)。许多药物可能是有效的,卡马西平是首选疗法.然而,非药物和侵入性程序也可能有所帮助。为了达到正确的诊断并确定最佳的治疗措施,充分的疼痛表征和跨学科合作是必不可少的。在此,我们介绍了跨学科方法诊断和治疗三叉神经痛的经验。