![]() ![]() Initially, a small dose of an antiepileptic/antineuralgic drug (such as carbamazepine), rather than an analgesic drug, can provide excellent pain relief. ![]() Peak incidence lies in people between ages 50 and 60 years, with prevalence increasing with age. Patients may undergo unnecessary, and sometimes irreversible, dental treatment before the correct diagnosis is made.Ī crude annual incidence of trigeminal neuralgia is approximately 5.7 per 100 000 women and 2.5 per 100 000 men. At first, it is often mistaken as a tooth problem because of its presentation in the two lower branches of the trigeminal nerve. The character of the pain is typically unilateral, episodic, severe, stabbing, shock-like, or lancinating, and exacerbated by cutaneous stimuli such as tactile pressure, chewing, brushing, a breeze of air, or shaving. The typical pain of trigeminal neuralgia is relatively easy to diagnose. The severity of this disabling pain and its relief through successful operative intervention have caused microvascular decompression (MVD) surgery to be recognized as one of the most satisfying operations in neurosurgery. Trigeminal neuralgia is considered one of the worst pains that can affect a human being. Please click here for patient-related content. ![]() Please note the relevant information for patients suffering from trigeminal neuralgia is presented in another chapter. Microvascular Decompression Surgery for Trigeminal Neuralgia: Classical Intraoperative Findings ![]()
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