Japanese Journal of Oral and Maxillofacial Surgery
Online ISSN : 2186-1579
Print ISSN : 0021-5163
ISSN-L : 0021-5163
Invited review articles
Trigeminal neuralgia review of recent reports and a proposal for treatment
Yoshinori SHIMAMOTO
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JOURNAL FREE ACCESS

2010 Volume 56 Issue 10 Pages 553-560

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Abstract
We reviewed recent reports related to trigeminal neuralgia. Radiological examination was not required, however, patient interview and physical examination were necessary for diagnosis alone. Considering that many patients were referred by oral-dental surgeons, trigeminal neuralgia is likely to be a disorder commonly encountered by these specialists. They play an important role in the diagnosis of it. The differential diagnosis of trigeminal neuralgia is important in order to initiate appropriate treatment.
The patients with trigeminal neuralgia are usually treated with Tegretol at first. When Tegretol therapy is not applicable or proved to be less effective, the patients undergo other therapy, that are surgical therapy, gamma knife radiosurgery, and trigeminal nerve block. In the treatment of the patients with trigeminal neuralgia, the medical cooperation within neurosurgeons, oral-dentist surgeons, neurologists, and pain clinicians should be required.
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© 2010 Japanese Society of Oral and Mxillofacial Surgeons
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