| Abstract: |
Trigeminal neuralgia is a condition involving severe, sharp, and stabbing pain in one of the three fifth cranial nerve distributions and is paroxysmal in nature. Red flags for trigeminal neuralgia that constitute a further in-depth workup include deafness, optic neuritis, age less than 40, a family history of multiple sclerosis, a history of skin or oral lesions, sensory changes, or poor response to treatment. Physical examination, including neurologic examination, is typically normal unless the pain is a result of another condition. Trigeminal neuralgia is typically managed with medications. For medically refractory pain, additional procedures or surgical interventions can be performed. © 2020 Elsevier Inc. All rights reserved. |
