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Trigeminal neuralgia and its variants. Management and diagnosis

Besi, E; Zakrzewska, JM; (2020) Trigeminal neuralgia and its variants. Management and diagnosis. Oral Surgery , 13 (4) pp. 404-414. 10.1111/ors.12464. Green open access

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Abstract

Trigeminal neuralgia (TN) and trigeminal autonomic cephalalgias (TACs) can cause severe facial pain. The differential diagnosis can be very challenging as both present with a sudden, usually unilateral, severe, recurrent pain in the distribution of one or more branches of the trigeminal nerve; with TACs including one or more autonomic symptom. A light touch can trigger the pain and it will stop patients from their daily activities creating a significant impact on their quality of life. Patients will present with pain to the dentist or doctor even to accident and emergency and they could receive incorrect and sometimes irreversible treatment. Clinical and radiographic examination, including a magnetic‐resonance imaging, are essential to establish diagnosis and a referral to a specialist should be considered. The long‐term treatment for TN could be pharmacological or surgical and patients should be informed their options, benefits as well as their side effects.

Type: Article
Title: Trigeminal neuralgia and its variants. Management and diagnosis
Open access status: An open access version is available from UCL Discovery
DOI: 10.1111/ors.12464
Publisher version: http://doi.org/10.1111/ors.12464
Language: English
Additional information: This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Eastman Dental Institute
URI: https://discovery.ucl.ac.uk/id/eprint/10095623
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