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Trigeminal Neuralgia


Trigeminal neuralgia is characterized by brief, lancinating, electrical shock/light pain with free intervals when the patient is completely asymptomatic. Attacks may occur and terminate abruptly, although the patient may experience background, burning pain between �shocks�. The pain attacks are unilateral and usually triggered by chewing. Most patients are over 50 years of age, when it occurs in a young patient, multiple sclerosis must be conceded.


The diagnosis is made by taking a detailed history and physical of the patient. A CT Scan of the face may be required to rule out any tumor.

  • Drug therapy
    • a. Carbamazipines
    • b. Phenytoin
    • c. Baclofen
  • Invasive therapy
    • a. Trigeminal nerve block
    • b. Radiofrequency destruction of gasserian ganglion � for those patient who fails the above treatment modalities
    • c. Microvascular decompression of the Trigeminal root