Neuralgia del Trigémino
Trigeminal Neuralgia is considered the most painful disorder known to medical practice. Likewise, this pathology has a significant impact on patients who suffer from it, decreasing their quality of life. This is a condition that causes painful sen-sations similar to an electric shock on one side of...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | Spanish |
| Published: |
2023
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| Subjects: | |
| Online Access: | https://dialnet.unirioja.es/servlet/oaiart?codigo=8882701 |
| Source: | RECIMUNDO: Revista Científica de la Investigación y el Conocimiento, ISSN 2588-073X, Vol. 7, Nº. 1, 2023, pags. 168-176 |
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| Summary: |
Trigeminal Neuralgia is considered the most painful disorder known to medical practice. Likewise, this pathology has a significant impact on patients who suffer from it, decreasing their quality of life. This is a condition that causes painful sen-sations similar to an electric shock on one side of the face. This chronic pain condition affects the trigeminal nerve, which carries sensation from the face to the brain. The purpose of this review is to summarize what is related to the diagnosis and treatment of Trigeminal Neuralgia. The research was carried out under a bibliographic documentary type methodology, un-der the review modality. From the investigation it is clear that the diagnosis is based on the medical history of each patient, as well as on the description of their symptoms, in addition to the physical examination, and an exhaustive neurological examination. Likewise, they recommend performing a cranial magnetic resonance imaging in all patients with a clinical di-agnosis of Trigeminal Neuralgia to rule out secondary causes. Regarding treatment, there is no definitive cure. Its treatment is palliative with proper management according to its possible etiology, this aims to reduce symptoms by at least 50% and thus improve the patient's quality of life. Treatment, based on the diagnosis, usually begins with drug therapy. The first line of treatment is voltage-gated sodium channel blockers, such as carbamazepine and oxcarbazepine. If medications do not relieve pain or produce intolerable side effects, such as excessive fatigue, surgical treatment may be recommended. Surgical treatments are: vascular microdecompression of the trigeminal nerve and percutaneous procedures on the Gas-serian ganglion. |
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