Trigeminal neuralgia: case report and literature review
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Date
2019
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Stomatological Dis Sci
Abstract
Trigeminal neuralgia (TN), also known as tic doloureaux, is a nerve disorder of the face and is considered to be one
of the most painful human conditions. A 51-year-old male presented with severe intermittent pain on the left side of
his face. Magnetic resonance image scan with contrast revealed a close association of the superior cerebella artery
and the trigeminal nerve on the left side of the face. Oral medication is the first line of treatment for TN, because
of its non-invasiveness, low cost and high effective rate. Surgical intervention for TN aims to relieve the pressure
of the offending artery or vein that is compressing the trigeminal nerve or in other instances; surgery may stop the
uncontrolled pain signals. An important criterion for clinical diagnosis is pain that cannot be attributed to another
disorder and also the lack of evident neurologic disorder. TN is one of the most debilitating diseases an individual
may suffer and an early astute diagnosis of TN will provide patients with relief from suffering, unnecessary dental
and medical intervention. Appropriate and early diagnosis of TN is important to formulate an optimal management
plan based on the patient’s age and general condition. The aim of this case report is to describe a case of Classical
TN, and subsequent successful surgical management with microvascular decompression.
Description
Keywords
Trigeminal neuralgia,, microvascular decompression,, facial pain,
Citation
Turton M, Malan-Roux P. Trigeminal neuralgia: case report and literature review. Stomatological Dis Sci 2019;3:7. http://dx.doi.org/10.20517/2573-0002.2019.08