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      Trigeminal Neuralgia: Frequency of Occurrence in Different Nerve Branches

      research-article
      1 , *
      Anesthesiology and Pain Medicine
      Kowsar
      Trigeminal neuralgia, Neuropathic pain, Neuralgia

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          Abstract

          Background:

          Trigeminal neuralgia (TN) is neuropathic pain which can involve any part or side of the face.

          Objectives:

          The objectives of this study were to find the most common branch of trigeminal nerve affected and the most common side involved.

          Patients and Methods:

          This Cross sectional study was carried out on 100 patients of trigeminal neuralgia in one year time. The diagnosis was based on a detailed history, clinical examination and control of pain by carbamazepine being taken supplemented by radiographic investigations. The collected data was analysed by SPSS 16.

          Results:

          The age of the patients varied from 40 to 80 years with a mean age 54 years at the time of presentation. The males to females ratio was 1:2. The right side of the face was found to be involved in seventy patients (64 %) and left side in (36 %). No case presented with bilateral involvement. The Mandibular division was most commonly involved in this study (n = 55; 55%) and least was ophthalmic divisions (n = 6; 6%).

          Conclusions:

          This study demonstrated numerous clinical similarities of trigeminal neuralgia afflicting different populations. Right side was more involved along with mandibular division the most commonly affected. However studies needs to be done to know the exact reasons of involvement of the affected side and branches.

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          Most cited references26

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          Epidemiology and treatment of neuropathic pain: the UK primary care perspective.

          The true incidence of neuropathic pain is unknown, but it is believed to be under-diagnosed and treated inadequately, despite the availability of drugs with proven efficacy. Our objective was to report the epidemiology and drug treatment of neuropathic pain as managed by UK primary care physicians. A descriptive analysis of the epidemiology of incident post-herpetic neuralgia (n=12,386); trigeminal neuralgia (8268); phantom limb pain (451) and painful diabetic neuropathy (4719) and prescription treatment at diagnosis from computerised UK general practice records (GPRD): January 1992 to April 2002. Incidences per 100,000 person years observation of 40 (95% CI 39-41) for post-herpetic neuralgia, 27 (26-27) for trigeminal neuralgia, 1 (1-2) for phantom limb pain and 15 (15-16) for painful diabetic neuropathy are reported, with rates decreasing over time for phantom limb pain and post-herpetic neuralgia and increasing for painful diabetic neuropathy. Drugs were initiated at first diagnosis record for 46-66% of conditions, usually one item, with antidepressants included in 30% of prescriptions, anticonvulsants in 20% and opioid analgesics in 20%. The most commonly prescribed items were the same across conditions; amitriptyline, carbamazepine, coproxamol, codydramol and codeine+paracetamol. Carbamazepine was prescribed to 58% of the trigeminal neuralgia cohort. In 2600 patients followed to stable therapy, there was a median of one to two drug changes. We provide the primary care managed incidence of four neuropathic pain conditions. For commonly prescribed treatments, changes in therapy are less frequent when initial therapy was with antidepressants or anticonvulsants rather than conventional analgesics.
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            Trigeminal neuralgia--pathophysiology, diagnosis and current treatment.

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              • Article: not found

              Pulsed radiofrequency for chronic pain.

              Pulsed radiofrequency (PRF), a technology related to continuous radiofrequency, is unique in that it provides pain relief without causing significant damage to nervous tissue. The mechanism by which PRF controls pain is unclear, but it may involve a temperature-independent pathway mediated by a rapidly changing electrical field. Although much anecdotal evidence exists in favor of PRF, there are few quality studies substantiating its utility.
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                Author and article information

                Journal
                Anesth Pain Med
                Anesth Pain Med
                10.5812/aapm
                Kowsar
                Anesthesiology and Pain Medicine
                Kowsar
                2228-7523
                2228-7531
                26 September 2011
                Autumn 2011
                : 1
                : 2
                : 70-72
                Affiliations
                [1 ]Employee Health Department, Peshawar, Khyber Pakhtoonkhwa, Pakistan
                Author notes
                [* ]Corresponding author: Tanweer Hussain Bangash, Employee Health Department, Govt. Khyber pakthoonkhwa, House-253, St/7, K/1, Phase-3, Hayatabad Township, Peshawar, Khyber Pakhtoonkhwa, Pakistan. Tel: +92-9157100336, Fax: +92-3339159458, E-mail: Tanweer_bangash@ 123456hotmail.com
                Article
                10.5812/kowsar.22287523.2164
                4335746
                25729659
                483e69c4-b528-4b00-b703-cb3ff665cd41
                Copyright © 2011, ISRAPM, Published by Kowsar Corp.

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 26 August 2011
                : 30 August 2011
                : 05 September 2011
                Categories
                Original Article

                trigeminal neuralgia,neuropathic pain,neuralgia
                trigeminal neuralgia, neuropathic pain, neuralgia

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