Osteogenesis imperfecta (OI) is a bone disorder that can lead to skull base deformities such as basilar invagination, which can cause compression of cranial nerves, including the trigeminal nerve. Trigeminal neuralgia in such cases remains a challenge, given distorted anatomy and deformities. We present an alternative option, consisting in cannulation of the foramen ovale and classical percutan...

OBJECTIVES To describe a patient with a demyelinating brainstem lesion who developed right-sided trigeminal neuralgia triggered by auditory stimuli and to discuss the pathophysiological mechanisms underlying this unusual phenomenon. DESIGN Case report. SETTING Referral center. PATIENT A 27-year-old man who presented with clinical signs of a brainstem lesion developed right-sided trigemina...

BACKGROUND Trigeminal nerve block has been widely used for trigeminal neuralgia. This may induce paraesthesia. The second division of the trigeminal nerve passes through the sphenopalatine ganglion, which is located posterior to the middle turbinate and is covered by a mucous membrane. We examined the effectiveness of intranasal lidocaine 8% spray on paroxysmal pain in second-division trigemina...

Trigeminal neuralgia (tic douloureux) is characterized by brief paroxysms of pain limited to the facial distribution of the trigeminal nerve and is precipitated by stimuli to sensory endings in the trigeminal receptive area. The condition is relieved by blocking the afferent input of the trigeminal nerve. According to Wyburn-Mason (1953) and Crue, Shelden, Pudentz, and Freshwater (1956), attack...

Introduction: The study of trigeminal surgery is linked to neuralgia and being a serious disorder can impair the patient's quality life. Objective: To analyze literature on relevant aspects surgery, such as decompression, sensitivity, anesthesia schwannomas. Methodology: PubMed, SCOPUS Google Scholar databases were reviewed find recent articles published with following keywords: “trigeminal ner...

Classical trigeminal neuralgia is a chronic pain condition that was clinically recognized centuries ago. Nevertheless, the pathological mechanism(s) involved in the development of classical trigeminal neuralgia is still largely based on the theory of peripheral versus central nervous system origin. Limitations of both hypotheses are discussed. Evidence of radiation effects in the electrical con...

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...

Neurovascular compression syndrome is generally caused by vascular at the root entry or exit zone of corresponding cranial nerve. Trigeminal neuralgia most frequent syndrome, followed hemifacial spasm. Despite ongoing debate in literature, pulsatile tinnitus also known to be a neurovascular resulting from vestibulocochlear Combined manifestations symptoms are very rare. We report case with simu...

Typical trigeminal neuralgia, brief electric shock like pain along distribution of trigeminal nerve, is well documented in literature but not much is available about pre trigeminal neuralgia. Pre-trigeminal neuralgia should be considered in the differential diagnosis of pain of dental origin because of its similar features.Symonds was the first person who noted dull, continuous and aching pain ...

We explored differences in postoperative pain relief achieved through decompression of the trigeminal nerve compressed by arteries and veins. Clinical characteristics, intraoperative findings, and postoperative curative effects were analyzed in 72 patients with trigeminal neuralgia who were treated by microvascular decompression. The patients were divided into arterial and venous compression gr...