By Alan Stiles, Somsak Mitrirattanakul, James Evans
ISBN-10: 0203448650
ISBN-13: 9780203448656
ISBN-10: 1842142534
ISBN-13: 9781842142530
Trigeminal neuralgia frequently is going unrecognized or is wrong for different factors of facial ache, and whereas the reason frequently can't be decided, it may be linked to a number of sclerosis, herpes zoster and numerous tumors. despite the fact that, examine into discomfort has grown exponentially over the last few years, and our figuring out of mechanism and pharmacology has additionally built. With more recent medicinal drugs and advances in surgical thoughts, sufferers with trigeminal neuralgia now have extra treatments than ever earlier than, and it is vital that clinicians are conscious of those that allows you to enhance their care. Addressing this want, medical handbook of Trigeminal Neuralgia and Facial ache familiarizes clinicians with the analysis of trigeminal neuralgia and likewise makes them conscious of the more moderen remedies on hand. Key parts coated contain the main up to date info on contemporary advances in diagnostic tactics, clinical and surgical administration, together with gamma knife surgical procedure, and guidance on non-pharmacologic remedy. Written by means of a crew from one of many major facilities for the examine of neurologic head and neck discomfort, it is a hugely beneficial sensible reference for the clinician facing universal and difficult-to-manage difficulties during this zone.
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Additional info for Clinical Manual of Trigeminal Neuralgia and Facial Pain
Sample text
Teflon material or polyurethane sponge inserted between the trigeminal nerve and the superior cerebellar artery became hardened and compressed the trigeminal nerve after the initial surgery. 44 In many such cases, decompression of the nerve root leads to relief of symptoms. 45 Perineural spread of head and neck cancer is an uncommon cause of cranial neuropathy. 46 studied five patients with cranial neuropathy resulting from perineural spread of head and neck carcinomas. Trigeminal neuropathy with facial pain or paresthesias was the most common clinical manifestation.
Trigeminal neuralgia that needed to be explained. For instance, what mechanisms prolong the trigeminal neuralgia pain sensation beyond the duration of the stimulus or mechanism underlying the spreading of painful sensation across and beyond the trigger zone? 62 The prolonged pain sensation of trigeminal neuralgia can be explained by hyperexcitability and afterdischarge of trigeminal ganglia neurons, as well as ectopic discharge at the site of nerve injury. Several studies63–65 confirmed that after nerve injury to the sensory nerve, neurons can become hyperexcitable and are able to generate spontaneous impulses due to the membrane remodeling of channels involving the impulse generation.
Coffey RJ, Fromm GH. Familial trigeminal neuralgia and Charcot-Marie-Tooth neuropathy. Report of two families and review. Surg Neurol 1991; 35: 49–53. 18. Zakrzewska JM. Diagnosis and differential diagnosis of trigeminal neuralgia. Clin J Pain 2002; 18: 14–21. 19. Merrill RL, Graff-Radford SB. Trigeminal neuralgia: how to rule out the wrong treatment. J Am Dent Assoc 1992; 123: 63–8. 20. Fromm GH, Graff-Radford SB, Terrence CF et al. Pre-trigeminal neuralgia. Neurology 1990; 40: 1493–5. 21. Bell WE.
Clinical Manual of Trigeminal Neuralgia and Facial Pain by Alan Stiles, Somsak Mitrirattanakul, James Evans
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