Abstract
Diagnostics and treatment of trigeminal neuralgia
Trigeminal neuralgia (TN) is characterized by unilateral evoked short-lasting intense pain paroxysms in the face. A concomitant persistent background pain is frequently present. Neurovascular contact causing displacement or atrophy of the trigeminal nerve is important to TN aetiology. TN can also be secondary to a space-occupying lesion or multiple sclerosis. Early high-quality magnetic resonance imaging is mandatory as a part of the work-up. First-choice treatment is medical. Medically refractory patients are referred to neurosurgery. Nationwide in Denmark, there is a need for structured and uniform treatment of TN.
Trigeminal neuralgia (TN) is characterized by unilateral evoked short-lasting intense pain paroxysms in the face. A concomitant persistent background pain is frequently present. Neurovascular contact causing displacement or atrophy of the trigeminal nerve is important to TN aetiology. TN can also be secondary to a space-occupying lesion or multiple sclerosis. Early high-quality magnetic resonance imaging is mandatory as a part of the work-up. First-choice treatment is medical. Medically refractory patients are referred to neurosurgery. Nationwide in Denmark, there is a need for structured and uniform treatment of TN.
Bidragets oversatte titel | Diagnostics and treatment of trigeminal neuralgia |
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Originalsprog | Dansk |
Artikelnummer | V02160146 |
Tidsskrift | Ugeskrift for Laeger |
Vol/bind | 178 |
Udgave nummer | 29 |
Antal sider | 2 |
ISSN | 0041-5782 |
Status | Udgivet - 18 jul. 2016 |