Trigeminal Neuralgia

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Clinical Description

Severe, very short-lived stabs of facial pain in the sensory trigeminal distribution. It is important in the diagnostic workup to exclude intracranial mass lesions, which may impinge on the trigeminal nerve.

 

TreatmentPHARMACOLOGICAL

• Carbamazepine, oral, 100 mg q8-12h, initial dose. Increase dose slowly. Doses of up to 1200 mg q24h may be required. After exacerbation, reduce to maintenance dose of 400-800 mg q24h.

Referral

For neuroimaging with MRI.

• If there is poor response to single drug therapy.
• Refer to Medical Rehabilitation Services for desensitization.