Conclusion
Trigeminal neuralgia is an interesting pathological entity for clinicians, because formal diagnosis can be made exclusively by questioning, radiologic tools being used only to try and detect secondary causes, and in the specific medical and surgical treatment.
The results of treatment are excellent if careful diagnosis is made based on trigeminal unilateral radicular topography and the neuralgic nature of the pain. Carbamazepine is used as a therapeutic and diagnostic test. Poor response to this medication raises doubts over the diagnosis of trigeminal neuralgia and of course contraindicates percutaneous treatment as well as microvascular decompression. At times, however, tailored procedures can be offered for those specific cases.
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References
Keravel Y, Sindou M, Ollat H, Laurent B (1988) La névralgie du trijumeau. Monogr ANPP 2, 108 pp
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© 2007 Springer-Verlag Berlin Heidelberg
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Czorny, A., Billon-Grand, R. (2007). Trigeminal Neuralgia. In: Kastler, B., Barral, FG., Fergane, B., Pereira, P. (eds) Interventional Radiology in Pain Treatment. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-47199-8_7
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DOI: https://doi.org/10.1007/978-3-540-47199-8_7
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