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Handbook of Trigeminal Neuralgia pp 3–9Cite as

Introduction to Trigeminal Neuralgia

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Abstract

Trigeminal neuralgia (TGN) refers to recurrent lancinating pain that occurs in the distribution of one or more branches of the fifth cranial nerve. It is one of the commonest types of craniofacial pain disorders. The pain perception is typically unilateral, abrupt in onset, brief in duration, and usually starts after trivial stimuli. With progression of TGN, the interval between bouts of pain shorten. In advanced cases, patients may report of pain at most times of the day and pain relief with oral drugs may be very poor. The pain is most commonly felt in the distribution of maxillary (V2) or mandibular (V3) divisions of the trigeminal nerve [1]. Less common presentations include combinations of ophthalmic (V1) and V2, V2 and V3, or all three divisions [1]. Solitary involvement of V1 division is very rare.

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References

  1. Headache Classification Committee of the International Headache Society (IHS). The international classification of headache disorders, 3rd edition. Cephalalgia. 2018;38:1–211.

    Google Scholar 

  2. Manzoni GC, Torelli P. Epidemiology of typical and atypical craniofacial neuralgias. Neurol Sci. 2005;26(Suppl 2):s65–7.

    Article  Google Scholar 

  3. Koopman JS, Dieleman JP, Huygen FJ, de Mos M, Martin CG, Sturkenboom MC. Incidence of facial pain in the general population. Pain. 2009;147:122–7.

    Article  Google Scholar 

  4. Hall GC, Carroll D, Parry D, McQuay HJ. Epidemiology and treatment of neuropathic pain: the UK primary care perspective. Pain. 2006;122:156–62.

    Article  Google Scholar 

  5. Hooge JP, Redekop WK. Trigeminal neuralgia in multiple sclerosis. Neurology. 1995;45:1294–6.

    Article  CAS  Google Scholar 

  6. De Toledo IP, Conti Reus J, Fernandes M, Porporatti AL, Peres MA, Takaschima A, et al. Prevalence of trigeminal neuralgia: a systematic review. J Am Dent Assoc. 2016;147:570–6.e2.

    Article  Google Scholar 

  7. Katusic S, Beard CM, Bergstralh E, Kurland LT. Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984. Ann Neurol. 1990;27:89–95.

    Article  CAS  Google Scholar 

  8. Maarbjerg S, Gozalov A, Olesen J, Bendtsen L. Trigeminal neuralgia – a prospective systematic study of clinical characteristics in 158 patients. Headache. 2014;54:1574–82.

    Article  Google Scholar 

  9. Reddy GD, Viswanathan A. Trigeminal and glossopharyngeal neuralgia. Neurol Clin. 2014;32:539–52.

    Article  Google Scholar 

  10. Pollack IF, Jannetta PJ, Bissonette DJ. Bilateral trigeminal neuralgia: a 14-year experience with microvascular decompression. J Neurosurg. 1988;68:559–65.

    Article  CAS  Google Scholar 

  11. Pearce JM. Trigeminal neuralgia (Fothergill’s disease) in the 17th and 18th centuries. J Neurol Neurosurg Psychiatry. 2003;74:1688.

    Article  CAS  Google Scholar 

  12. Patel SK, Liu JK. Overview and history of trigeminal neuralgia. Neurosurg Clin N Am. 2016;3:265–76.

    Article  Google Scholar 

  13. Cole CD, Liu JK, Apfelbaum RI. Historical perspectives on the diagnosis and treatment of trigeminal neuralgia. Neurosurg Focus. 2005;18:E4.

    Article  Google Scholar 

  14. Fothergill J. Of a painful affection of the face. Medical observations and inquiries. 1773;5:129–42.

    Google Scholar 

  15. Bergouignan M. Cures heureuses de neurologies essentielles par le dephenyl hydantoinate de sounde. Rev Laryngol Otol Rhinol. 1942;63:34–41.

    Google Scholar 

  16. Blom S. Trigeminal neuralgia: its treatment with a new anticonvulsant drug (G-32883). Lancet. 1962;1:839–40.

    Article  CAS  Google Scholar 

  17. Stookey B, Ransohoff J. Trigeminal neuralgia: its history and treatment. In: Thomas CP, editor. Principles of neurological surgery. Springfield, IL: Charles C. Thomas; 1959.

    Google Scholar 

  18. Lunsford LD, Bennett MH. Percutaneous retrogasserian glycerol rhizotomy for tic douloureux: part 1. Technique and results in 112 patients. Neurosurgery. 1984;14:424–30.

    Article  CAS  Google Scholar 

  19. Wilkins R. Trigeminal neuralgia: historical overview, with emphasis on surgical treatment. In: Burchiel K, editor. Surgical management of pain. New York: Thieme; 2002. p. 288–301.

    Google Scholar 

  20. Kirschner M. Zur elektrochirurgie. Langenbecks Arch Klin Chir. 1931;167:761–8.

    Google Scholar 

  21. Sweet WH, Wepsic JG. Controlled thermocoagulation of trigeminal ganglion and rootlets for differential destruction of pain fibers. 1. Trigeminal neuralgia. J Neurosurg. 1974;40:143–56.

    Article  CAS  Google Scholar 

  22. Nugent GR. Radiofrequency treatment of trigeminal neuralgia using a cordotomy-type electrode. A method. Neurosurg Clin N Am. 1997;8:41–52.

    Article  CAS  Google Scholar 

  23. Taha JM, Tew JM Jr. Treatment of trigeminal neuralgia by percutaneous radiofrequency rhizotomy. Neurosurg Clin N Am. 1997;8:31–9.

    Article  CAS  Google Scholar 

  24. Abdennebi B, Bouatta F, Chitti M, Bougatene B. Percutaneous balloon compression of the Gasserian ganglion in trigeminal neuralgia. Long-term results in 150 cases. Acta Neurochir. 1995;136:72–4.

    Article  CAS  Google Scholar 

  25. Mullan S, Lichtor T. Percutaneous microcompression of the trigeminal ganglion for trigeminal neuralgia. J Neurosurg. 1983;59:1007–12.

    Article  CAS  Google Scholar 

  26. Brown JA, Chittum CJ, Sabol D, Gouda JJ. Percutaneous balloon compression of the trigeminal nerve for treatment of trigeminal neuralgia. Neurosurg Focus. 1996;1:E10.

    Article  Google Scholar 

  27. Rand RW, Jacques DB, Melbye RW, Copcutt BG, Levenick MN, Fisher MR. Leksell Gamma Knife treatment of tic douloureux. Stereotact Funct Neurosurg. 1993;61(Suppl 1):93–102.

    Article  Google Scholar 

  28. Barker FG 2nd, Jannetta PJ, Bissonette DJ, Larkins MV, Jho HD. The long-term outcome of microvascular decompression for trigeminal neuralgia. N Engl J Med. 1996;334:1077–83.

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Neuroanaesthesiology and Critical Care Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India

    Ritesh Lamsal & Girija Prasad Rath

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  1. Ritesh Lamsal
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  2. Girija Prasad Rath
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Editors and Affiliations

  1. Department of Neuroanaesthesiology and Critical Care, Neurosciences Centre, All India Institute of Medical Sciences, New Delhi, India

    Girija Prasad Rath

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Lamsal, R., Rath, G.P. (2019). Introduction to Trigeminal Neuralgia. In: Rath, G. (eds) Handbook of Trigeminal Neuralgia. Springer, Singapore. https://doi.org/10.1007/978-981-13-2333-1_1

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  • DOI: https://doi.org/10.1007/978-981-13-2333-1_1

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-2332-4

  • Online ISBN: 978-981-13-2333-1

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