Therapy and prophylaxis of neuralgiform facial pain syndromes and other kinds of facial pain syndromes

Paulus, W. and Evers, S. and May, A. and Steude, U. and Wolowski, A. and Pfaffenrath, V. (2002) Therapy and prophylaxis of neuralgiform facial pain syndromes and other kinds of facial pain syndromes. NERVENHEILKUNDE, 21 (5). pp. 255-268. ISSN 0722-1541

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Abstract

Trigeminal neuralgia and postherpetic neuralgia are the most relevant neuralgiform facial pain syndromes. Trigeminal neuralgia is characterized by lancinciting intensive pain attacks of very short duration, triggered by external cues, whereas postherpetic neuralgia consists predominantly of long-lasting burning pain. Sodium channel blocking drugs are first choice in treatment of trigeminal neuralgia, operative procedures encompass microvascular decompression, thermocoagulation and percutaneous retrogasserian glycerol rhizotomy. In the acute stage postherpetic neuralgia is treated antivirally and analgetically, in the chronic stage by tricyclic antidepressive substances. Even without evidence-based studies, newer antiepileptic drugs may be applied with success, since the efficacy may be clarified within days. Other pain syndromes described encompass the Tolosa-Hunt syndrome, cervicogenic headache, craniomandibular dysfunction syndrome, atypical facial pain and rarer syndromes. Therapeutic recommendations are based on evidence based medicine criteria (EBM).

Item Type: Article
Uncontrolled Keywords: TOLOSA-HUNT-SYNDROME; IDIOPATHIC TRIGEMINAL NEURALGIA; ORBITAL INFLAMMATORY DISEASE; RANDOMIZED CONTROLLED TRIALS; BURNING MOUTH SYNDROME; CLUSTER-TIC SYNDROME; ORAL LICHEN-PLANUS; POSTHERPETIC NEURALGIA; MULTIPLE-SCLEROSIS; TEMPOROMANDIBULAR DISORDERS; trigeminal neuralgia; zoster neuralgia; Toloso-Hunt syndrome; neck-tongue syndrome; craniomandibular dysfunction syndrome; cervicogenic headache; atypical facial pain
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Neurologie
Depositing User: Petra Gürster
Date Deposited: 19 May 2021 09:10
Last Modified: 19 May 2021 09:10
URI: https://pred.uni-regensburg.de/id/eprint/40800

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