Abstract
Although there are similarities between trigeminal neuralgia associated with multiple sclerosis (TNMS) and trigeminal neuralgia without multiple sclerosis (TN), there also are differences. In both conditions, paroxysmal, episodic triggered face pain occurs in the trigeminal distribution and is relieved by car-bamazepine (Tegretol) and trigeminal denervation. As opposed to TN, TNMS usually occurs in younger patients and is more frequently bilateral; in patients with multiple sclerosis, carbamazepine is less well tolerated and microvascular decompression is contraindicated. It has been suggested that recurrence is more likely following radiofrequency electrocoagulation of the gasserian ganglion and retrogasserian rootlets (RFE) in TNMS than in TN [1].
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References
Broggi G, Franzini A: Radiofrequency trigeminal rhizotomy in treatment of symptomatic non-neoplastic facial pain. J Neurosurg 57:483–486, 1982.
Lee ET: Statistical Methods for Survival Data Analysis. Lifetime Learning Publications, Belmont, California, 1980, pp 75–156.
Loeser JD, Calvin WH, Howe JF: Pathophysiology of trigeminal neuralgia. Clin Neurosurg 24:527–537, 1977.
Olafson RA, Rushton JG, Sayre GP: Trigeminal neuralgia in a patient with multiple sclerosis. An autopsy report. J Neurosurg 24:755–759, 1966.
Rushton JG, Olafson RA: Trigeminal neuralgia associated with multiple sclerosis: Report of 35 cases. Arch Neurol 13:383–386, 1965.
Adson AW: The diagnosis and surgical treatment of trigeminal neuralgia. Ann Otol 35:601–631, 1926.
Harris W: Rare forms of paroxysmal trigeminal neuralgia and their relation to disseminated sclerosis. Br Med J 2:1015–1019, 1950.
Ruge D, Brochner R, Davis L: A study of the treatment of 637 patients with trigeminal neuralgia. J Neurosurg 15:528–536, 1958.
Peet MM, Schneider RC: Trigeminal neuralgia: A review of six hundred and eighty-nine cases with a followup study of sixty-five percent of the group. J Neurosurg 9:367–377, 1952.
Chakravorty BG: Association of trigeminal neuralgia with multiple sclerosis. Arch Neurol 14:95–99, 1966.
Stookey B, Ransohoff J: Paroxysmal trigeminal pain in multiple sclerosis. In: Trigeminal Neuralgia: Its History and Treatment. Charles C. Thomas, Springfield, 1959, pp 124–127.
Siegfried J: 500 percutaneous thermocoagulations of the Gasserian ganglion for trigeminal pain. Surg Neurol 8:126–131, 1977.
Brett DC, Ferguson GG, Ebers GC, Paty DW: Percutaneous trigeminal rhizotomy. Treatment of trigeminal neuralgia secondary to multiple sclerosis. Arch Neurol 39:219–221, 1982.
Sweet WH: Treatment of facial pain by percutaneous differential thermal trigeminal rhizotomy. Prog Neurol Surg 7:153–179, 1976.
Hakanson S: Trigeminal neuralgia treated by the injection of glycerol into the trigeminal cistern. Neurosurgery 9:638–646, 1981.
Sweet WH, Poletti CE, Macon JB: Treatment of trigeminal neuralgia and other facial pains by retrogasserian injection of glycerol. Neurosurgery 9:647–653, 1981.
Broggi G: Thermorhizotomy in trigeminal neuralgia: Preliminary considerations on 46 cases. Brain Hypoxia. Pain. Advances in Neurosurgery, Vol 3. Springer-Verlag, Berlin/Heidelberg/New York, 1975, pp 297–300.
Latchaw JP, Hardy RW, Forsythe SB, Cook AF: Trigeminal neuralgia treated by radio-frequency coagulation. J Neurosurg 59: 479–484, 1983.
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© 1989 Kluwer Academic Publishers
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Brisman, R. (1989). Trigeminal Neuralgia and Multiple Sclerosis. In: Brisman, R. (eds) Neurosurgical and Medical Management of Pain: Trigeminal Neuralgia, Chronic Pain, and Cancer Pain. Topics in Neurosurgery, vol 3. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1651-0_10
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DOI: https://doi.org/10.1007/978-1-4613-1651-0_10
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