Trigeminal Neuralgia
Book Title
Adult CNS Radiation Oncology
Files
Editors
Chang, Eric L., Brown Paul D., Lo, Simon S. Sahgal, Arjun, Suh, John H.
Description
Trigeminal neuralgia (TN) is a pain syndrome typified by paroxysms of intense stabbing, electric shock-like unilateral facial pain provoked by light touch in the distribution of the fifth cranial or trigeminal nerve. Also known as tic douloureux to describe the involuntary facial movement or contortions of the facial features in reaction to the severity/intensity of the pain, the cause is usually idiopathic, but secondary causes such as vascular anomalies, tumors, or multiple sclerosis may be identified by neuroimaging. Antiepileptic drug therapy provides initial pain relief in the majority of patients. However, the TN pain may become refractory to pharmacological agents leading to referrals for evaluation of surgical or irradiation management ranging from operative craniotomy to radiation-based radiosurgical approaches. This chapter will highlight the key features of TN and elucidate state-of-the-art medicinal, surgical and radiotherapeutic regimens in the treatment of TN based on retrospective, observational clinical investigations along with systemic and comparative reviews.
First Page
499
Last Page
516
ISBN
9783319428789
Publication Date
7-28-2018
Publisher
Springer
City
Cham, Switzerland
Disciplines
Oncology | Radiation Medicine
Recommended Citation
Chen PY. Trigeminal Neuralgia [Internet]. Chang EL, Brown PD, Lo SS, Sahgal A, Suh JH, editors. Cham: Springer International Publishing; 2018. 18 p. (Adult CNS Radiation Oncology: Principles and Practice). Available from: https://doi.org/10.1007/978-3-319-42878-9_35