Trigeminal neuralgia (TN), also known as tic douloureux, is a pain syndrome recognizable by patient history alone. The condition is characterized by intermittent unilateral facial pain. The pain follows the unilateral (>95%) sensory distribution of trigeminal nerve (V), typically radiating to the maxillary (V2) or mandibular (V3) area. Ophthalmic division (V1) pain alone occurs in <5% patients....

Trigeminal neuralgia is the most common neuralgia. Its therapeutic approach is challenging as the first line treatment often does not help, or even causes intolerable side effects. The aim of our randomized double blind, placebo controlled, crossover study was to investigate in a prospective way the effect of lidocaine in patients with trigeminal neuralgia. Twenty patients met our inclusion cri...

Trigeminal neuralgia (TN) is a rare chronic pain disorder, characterised by paroxysms of severe, lancinating pain in the distribution of the trigeminal nerve. Most commonly, the second and third branches of the trigeminal nerve are affected. Paroxysms of pain may be related to tactile stimuli such as hair combing, shaving or a cold wind against the patients face. The pain associated with TN is ...

Peripheral neurectomy is a simple and effective method of procedure widely performed throughout the world for the treatment of trigeminal neuralgia. At the acute conditions of pain, we have an case who had underwent an peripheral neurectomy on the affected left side of the face. He had a history of pain particularly in the evening and morning session for the past 6 months and patient reported t...

PURPOSE Leprosy is rarely seen in Taiwan. We herein report a foreign worker concomitantly with facial borderline tuberculoid leprosy presenting with trigeminal neuralgia. CASE REPORT A 26-year-old male foreign labor from Indonesia, presented with 1 year history of a hypoanaesthetic erythematous plaque of right face and subsequent 6 months constant, severe pain in the right side of his face ov...

Thirty-five patients with trigeminal neuralgia underwent microvascular decompression. Complete remission was obtained in 33 patients, while one was fair and another unchanged postoperatively. The clinical and operative findings were reviewed, analyzing the direction of vascular compression of the trigeminal nerve and the distribution of pain in the peripheral regions. There were some weak corre...

We read this article with great interest regarding the frequency of occurrence in different nerve branches in trigeminal neuralgia (1). However, the paper raises some important issues. The authors showed that more patients presented with right than left neuralgia (ratio: 1.5/1), attributing this lateralization of neuralgia to a narrower foramen ovale and foramen rotundum on the right side. This...

BACKGROUND Percutaneous ganglyolysis treatment of trigeminal neuralgia is rarely associated with vascular complications, such as hematoma, subarachnoid hemorrhage, and stroke. Internal carotid artery injury may also occur after misguided needle placement, particularly far posteriorly or medially, resulting in carotid cavernous fistula. Anatomical variations of the foramen ovale can predispose t...

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 shoul...