Trigeminal neuralgia


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Abstract

Orofacial pain is a medical, dental, social and psychological problem. Trigeminal neuralgia (TN) is the most severe and common form of orofacial pain. Most researchers dealing with the problem of facial pain believe that the cause of the development of the primary «classic» TN is a neurovascular conflict associated with compression of the trigeminal nerve by dilated, loop-like convoluted superior or anterior inferior cerebellar arteries in the area where its root enters the pons. The diagnosis of TN is based on typical attacks of paroxysmal, electric shock-like pain in the innervation area of the second and/or third branches of the trigeminal nerve and the exclusion of other pain syndromes. The elimination of the symptomatic nature of facial pain requires the participation of an expert group consisting of a neurologist, neurosurgeon, neuroradiologist, maxillofacial surgeon, and dentist. The most commonly used drug therapy is effective for 80% of patients with TN. Surgical treatment is indicated in pharmacoresistant (refractory) TN.

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About the authors

Marina Yu. Maksimova

Research Center for Neurology

Email: ncnmaximova@mail.ru
Dr. Sci. (Med.), Professor, Head of the 2nd Neurological Department Moscow, Russia

References

  1. Yadav Y.R., Nishtha Y., Sonjjay P., et al. Trigeminal Neuralgia. Asian J Neurosurg. 2017;12(4):585-97. doi: 10.4103/ajns.AJNS_67_14.
  2. Jones M.R., Urits I., Ehrhardt K.P., et al. A Comprehensive Review of Trigeminal Neuralgia. Curr Pain Headache Rep. 2019;23(10):74. Doi: 10.1007/ s11916-019-0810-0.
  3. De Toledo I.P., Conti Reus J., Fernandes M., et al. Prevalence of trigeminal neuralgia: A systematic review. J Am Dent Assoc. 2016;147(7):570-6.e2. doi: 10.1016/j.adaj.2016.02.014.
  4. Katusic S., Williams D.B., Beard C.M., et al. Epidemiology and clinical features of idiopathic trigeminal neuralgia and glossopharyngeal neuralgia: similarities and differences, Rochester, Minnesota, 1945-1984. Neuroepidemiol. 1991;10(5-6):276-81. doi: 10.1159/000110284.
  5. Fisher A., Zakrzewska J.M., Patsalos P.N. Trigeminal neuralgia:currenttreatmentsandfuturedevelopments. Expert Opin Emerg Drugs. 2003;8(1):123-43. doi: 10.1517/14728214.8.1.123.
  6. Bahgat D., Ray D.K., Raslan A.M., et al. Trigeminal neuralgia in young adults. J Neurosurg. 2011;114(5):1306-11. doi: 10.3171/2010.10.
  7. Loh H.S., Ling S.Y., Shanmuhasuntharam P, et al. Trigeminal neuralgia. A retrospective survey of a sample of patients in Singapore and Malaysia. Aust Dent J. 1998;43(3):188-91. doi: 10.1111/j.1834-7819.1998.tb00163.x.
  8. Smyth P., Greenough G., Stommel E. Familial trigeminal neuralgia: case reports and review of the literature. Headache. 2003;43(8):910-5. doi: 10.1046/j.1526-4610.2003.03172.x.
  9. Гречко В.Е. Неотложная помощь в нейростоматологии. М., 1990. 256 с.
  10. Степанченко А.В. Клинические аспекты невралгии тройничного нерва. Журнал невропатологии и психиатрии им. С.С. Корсакова. 1989;4:8-12
  11. Международная классификация болезней МКБ-10, перевод на русский язык, сайт ВОЗ
  12. Headache Classification Committee of the International Headache Society (IHS) The International Classification of Headache Disorders, 3rd edition. Cephalalgia. 2018;38(1):1-211. doi: 10.1177/0333102417738202.
  13. Scholz J., Finnerup N.B., Attal N., et al. Classification Committee of the Neuropathic Pain Special Interest Group (NeuPSIG). The IASP classification of chronic pain for ICD-11: chronic neuropathic pain. Pain. 2019;160(1):53-9. Doi: 10.1097/j. pain.0000000000001365.
  14. Jannetta P.J. Arterial compression of the trigeminal nerve at the pons in patients with trigeminal neuralgia. 1967. J Neurosurg. 2007;107(1):216-19. doi: 10.3171/JNS-07/07/0216.
  15. Tanrikulu L., Hastreiter P., Bassemir T., et al. New Clinical and Morphologic Aspects in Trigeminal Neuralgia. World Neurosurg. 2016;92:189-96. doi: 10.1016/j.wneu.2016.04.119.
  16. Sindou M., Howeidy T., Acevedo G. Anatomical observations during microvascular decompression for idiopathic trigeminal neuralgia (with correlations between topography of pain and site of the neurovascular conflict). Prospective study in a series of 579 patients. Acta Neurochir. (Wien). 2002;144(1):1-12; discussion 12-3. doi: 10.1007/s701-002-8269-4.
  17. Hilton D.A., Love S., Gradidge T., Coakham H.B. Pathological findings associated with trigeminal neuralgia caused by vascular compression. Neurosurg. 1994;35(2):299-303; discussion 303. doi: 10.1227/00006123-199408000-00017.
  18. Devor M., Govrin-Lippmann R., Rappaport Z.H. Mechanism of trigeminal neuralgia: an ultrastructural analysis of trigeminal root specimens obtained during microvascular decompression surgery. J. Neurosurg. 2002;96(3):532-43. Doi: 10.3171/ jns.2002.96.3.0532.
  19. Marinkovic S., Gibo H., Todorovic V, et al. Ultrastructure and immunohistochemistry of the trigeminal peripheral myelinated axons in patients with neuralgia. Clin Neurol Neurosurg. 2009;111(10):795-800. Doi: 10.1016/j. clineuro.2009.07.020.
  20. Sabalys G., Juodzbalys G., Wang H.L. Aetiology and pathogenesis of trigeminal neuralgia: a comprehensive review. J Oral Maxillofac Res. 2013;3(4):e2. doi: 10.5037/jomr.2012.3402.
  21. Obermann M., Rodriguez-Raecke R., Naegel S., et al. Gray matter volume reduction reflects chronic pain in trigeminal neuralgia. Neuroimage. 2013;74:352-58. doi: 10.1016/j.neuroimage.2013.02.029.
  22. Li M., Yan J., Li S., et al. Reduced volume of gray matter in patients with trigeminal neuralgia. Brain Imaging Behav. 2017;11(2):486-92. Doi: 10.1007/ s11682-016-9529-2.
  23. Пирадов М.А., Максимова М.Ю., Синева Н.А., Водопьянов Н.П. Невропатия тройничного нерва: Учебное пособие. М., 2019. 96 с
  24. Cruccu G., Biasiotta A., Di Rezze S., et al. Trigeminal neuralgia and pain related to multiple sclerosis. Pain. 2009;143(3):186-91. Doi: 10.1016/j. pain.2008.12.026.
  25. McLeod N.M., Tekeli K.M., Cheriyan J. Trigeminal neuralgia: assessment and management by oral and maxillofacial surgeons in the United Kingdom. Br J Oral Maxillofac Surg. 2009;47(1):42-5. doi: 10.1016/j.bjoms.2008.06.007.
  26. Танашян М.М., Максимова М.Ю., Федин П.А., и др. Диагностика и лечение травматической невропатии тройничного нерва. Анналы клинической и экспериментальной неврологии. 2018;12(2):22- 6.
  27. Танашян М.М., Максимова М.Ю., Иванов С.Ю. и др. Невропатия тройничного нерва после ортогнатических операций. Неврология, нейропсихиатрия, психосоматика. 2020;12(4):37-42
  28. Максимова М.Ю., Синева Н.А., Водопьянов Н.П. Постгерпетические невралгии (невропатии), обусловленные опоясывающим герпесом. Фарматека. 2013;10:58-62
  29. Максимова М.Ю., Синева Н.А., Водопьянов Н.П. Невралгия (невропатия), обусловленная опоясывающим герпесом. Терапевтический архив. 2014;86(11):93-9
  30. Викулов Г.Х., Максимова М.Ю., Вознесенский С.Л. и др. Опоясывающий герпес: эпидемиология, клиника, алгоритмы диагностики, лечения и профилактики. Инфекционные болезни. 2019; 17(2):111-22
  31. Shah R.J., Padalia D. Glossopharyngeal Neuralgia. 2020 Mar 30. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan. PMID: 31082085.
  32. Максимова М.Ю., Пирадов М.А., Суанова Е.Т., Синева Н.А. Невралгическая головная боль с вегетативными проявлениями. Журнал неврологии и психиатрии им. С.С. Корсакова. 2015;11:137- 45.
  33. Garcia M., Naraghi R., Zumbrunn T., et al. High-resolution 3D-constructive interference in steady-state MR imaging and 3D time-of-flight MR angiography in neurovascular compression: a comparison between 3T and 1.5T. AJNR. Am J Neuroradiol. 2012;33(7):1251-56. Doi: 10.3174/ ajnr.A2974.
  34. Cruccu G. Trigeminal Neuralgia. Continuum (Minneap Minn). 2017;23(2, Selected Topics in Outpatient Neurology):396-420. Doi: 10.1212/ C0N.0000000000000451.
  35. Leung A., Donohue M., Xu R., et al. rTMS for suppressing neuropathic pain: a meta-analysis. J Pain. 2009;10(12):1205-16. Doi: 10.1016/j. jpain.2009.03.010.
  36. Chen H.I., Lee J.Y. The measurement of pain in patients with trigeminal neuralgia. Clin Neurosurg. 2010;57:129-33. PMID: 21280505.
  37. Kandan S.R., Khan S., Jeyaretna D.S., et al. Neuralgia of the glossopharyngeal and vagal nerves: long-term outcome following surgical treatment and literature review. Br J Neurosurg. 2010;24(4):441-46. doi: 10.3109/02688697.2010.487131.
  38. Park S.H., Chang J.W. Gamma Knife Radiosurgery on the Trigeminal Root Entry Zone for Idiopathic Trigeminal Neuralgia: Results and a Review of the Literature. Yonsei Med J. 2020;61(2):111-19. doi: 10.3349/ymj.2020.61.2.111.

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