Trigeminal neuralgia and atypical facial pain: current concepts on etiopathogenesis and diagnosis

  • G. Broggi
  • I. Dones
  • P. Ferroli
  • D. Servello
Part of the Topics in Anaesthesia and Critical Care book series (TIACC)


Facial pain can be related to a dysfunction of the nervous system or to diseases affecting the various anatomical structures of the face. Physicians tend sometimes to see only those aspects of the patient’s problem that fit their notions of pathogenesis or therapeutic repertoire. Understanding and treating facial pain requires concepts derived from neuroscience, physiology, anatomy, oral and maxillo-facial surgery, general dentistry, neurosurgery, neurology, internal medicine, clinical psychology, psychiatry, otorhinolaryngology, orthopaedic surgery, physiatry and anaesthesiology. Thus, a multidisciplinary approach to this problem is strongly warranted for a correct diagnosis. If the medical literature in the past two decades has demonstrated major improvement in the diagnosis and treatment of typical facial pain or “tic douloureux”, atypical facial pain remains a waste-basket diagnosis that contains several distinct pain syndromes with no widely accepted etiology, categorization and treatment. In these chapter we attempt to clarify current concepts of etiopathogenesis and diagnosis of trigeminal neuralgia (TN) and atypical facial pain.


Multiple Sclerosis Cluster Headache Trigeminal Nerve Trigeminal Neuralgia Facial Pain 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Verlag Italia, Milano 1999

Authors and Affiliations

  • G. Broggi
  • I. Dones
  • P. Ferroli
  • D. Servello

There are no affiliations available

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