Trigeminal Neuralgia

Publication Title: 
BMJ clinical evidence

INTRODUCTION: Trigeminal neuralgia is a sudden, unilateral, brief, stabbing, recurrent pain in the distribution of one or more branches of the fifth cranial nerve. Pain occurs in paroxysms which last from a few seconds to 2 minutes. The frequency of the paroxysms ranges from a few to hundreds of attacks a day. Periods of remission can last for months to years, but tend to shorten over time. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical question: What are the effects of treatments in people with trigeminal neuralgia?

Author(s): 
Zakrzewska, Joanna M.
Linskey, Mark E.
Publication Title: 
BMJ clinical evidence

INTRODUCTION: Trigeminal neuralgia is a sudden, unilateral, brief, stabbing, recurrent pain in the distribution of one or more branches of the fifth cranial nerve. Pain occurs in paroxysms which last from a few seconds to 2 minutes. The frequency of the paroxysms ranges from a few to hundreds of attacks a day. Periods of remission can last for months to years, but tend to shorten over time. METHODS AND OUTCOMES: We conducted a systematic review and aimed to answer the following clinical question: What are the effects of treatments in people with trigeminal neuralgia?

Author(s): 
Zakrzewska, Joanna M.
Linskey, Mark E.
Publication Title: 
Alternative Therapies in Health and Medicine

BACKGROUND: Trigeminal neuralgia (TN) is a commonly seen pain condition with limited treatments available, and acupuncture is widely used for pain conditions, including TN. OBJECTIVES: To review the efficacy of acupuncture treatment for TN. METHODS: English and Chinese databases were searched extensively to identify randomized controlled studies of acupuncture treatment for TN. Selected studies were assessed for methodological quality. Odds ratios (OR) between treatment and control groups were used to assess efficacy.

Author(s): 
Liu, Hua
Li, Hong
Xu, Min
Chung, Ka-Fai
Zhang, Shi Ping
Publication Title: 
Zeitschrift Für Psychotherapie Und Medizinische Psychologie
Author(s): 
Klumbies, G.
Publication Title: 
The American Journal of Clinical Hypnosis
Author(s): 
Shafer, T. A.
Publication Title: 
The American Journal of Clinical Hypnosis
Author(s): 
Erickson, M. H.
Publication Title: 
Zeitschrift Für Ärztliche Fortbildung
Author(s): 
Prokop, O.
Seidel, K.
Publication Title: 
Acupuncture & Electro-Therapeutics Research

Both acupuncture and hypnosis have their distinct applications in the health profession, but combining acupuncture therapy with hypnosis has rarely been done for the purpose of therapeutic treatment, perhaps because few clinicians have proper training in both disciplines. For needle phobic patients, acupuncture treatment can be a dreadful experience, as multiple needles are usually used. It is stressful for both clinicians and patients when the patients are put in an extremely apprehensive state.

Author(s): 
Lu, D. P.
Lu, G. P.
Publication Title: 
Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie

PURPOSE: Deep anesthesia during microvascular decompression (MVD) for trigeminal neuralgia and cerebral aneurysm clipping may delay emergence. A new electroencephalographic (EEG) monitor, the EEGo, processes a raw EEG signal using time-delay analysis to display a reproducible signal transition from deep anesthesia through the excitement state to the awake state. We hypothesized that the EEGo monitor would be superior to the bispectral (BIS) monitor, not only in aiding emergence but also in detecting sudden changes in levels of hypnosis.

Author(s): 
Pauls, Ryan J.
Dickson, Timothy J.
Kaufmann, Anthony M.
Cappellani, Ronald B.
Ringaert, Kenneth R. A.
West, Michael
Silvaggio, Joseph A.
Wilkinson, Marshall F.
Girling, Linda G.
Mutch, W. Alan C.
Publication Title: 
Compendium of Continuing Education in Dentistry (Jamesburg, N.J.: 1995)

The purpose of this article is to give a concise review of the diagnosis and management of trigeminal neuralgia (TN), with particular emphasis on idiopathic TN and symptomatic TN. The clinical characteristics of both conditions are presented, and the suspected underlying etiologies are discussed. Because it is crucial for clinicians to be able to rule out pain unrelated to TN, a list of differential diagnoses is presented. The authors stress that the diagnosis of TN is made clinically; however, diagnostic imaging may be indicated in selected cases.

Author(s): 
Türp, J. C.
Gobetti, J. P.

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