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Trigeminal Neuralgia

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Case-Based Diagnosis and Management of Headache Disorders

Part of the book series: Headache ((HEAD))

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Abstract

We present a case of a 45-year-old woman with a diagnosis of a typical first branch trigeminal neuralgia (TN), who after 4 years of onset started experiencing lacrimation during her most severe attacks. Autonomic features, accompanying the pain attack, might lead to some diagnostic difficulties and doubts about differentiating first branch TN from other similar pain disorders like the short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT). The following question was asked: “Should the lacrimation be considered as a part of the patient’s first branch trigeminal neuralgia or a transformation of the TN to SUNCT might have occurred?”

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Author information

Authors and Affiliations

  1. Department of Neurology, Medical University – Sofia, Sofia, Bulgaria

    Ivan Milanov MD, PhD, DSc & Vesselina Grozeva MD

  2. Headache Department, University Neurological Hospital “St. Naum” 1, Lyuben Russev Str., Sofia, 1113, Bulgaria

    Ivan Milanov MD, PhD, DSc & Vesselina Grozeva MD

Authors
  1. Ivan Milanov MD, PhD, DSc
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  2. Vesselina Grozeva MD
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Correspondence to Ivan Milanov MD, PhD, DSc .

Editor information

Editors and Affiliations

  1. Cerrahpasa School of Medicine, Istanbul University, Istanbul, Turkey

    Aksel Siva

  2. Headache Medical Center Seilerstaette Linz, Hospital Sisters of Charity, Linz, Austria

    Christian Lampl

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Milanov, I., Grozeva, V. (2015). Trigeminal Neuralgia. In: Siva, A., Lampl, C. (eds) Case-Based Diagnosis and Management of Headache Disorders. Headache. Springer, Cham. https://doi.org/10.1007/978-3-319-06886-2_38

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  • DOI: https://doi.org/10.1007/978-3-319-06886-2_38

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-06885-5

  • Online ISBN: 978-3-319-06886-2

  • eBook Packages: MedicineMedicine (R0)

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