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Trigeminal Neuralgia How Can A Neurologist Help? Summary of a presentation to Dallas TN Association November 7 th , 2007 PowerPoint PPT Presentation


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Trigeminal Neuralgia How Can A Neurologist Help? Summary of a presentation to Dallas TN Association November 7 th , 2007. Norma Melamed, MD 12810 Hillcrest Road Suite B220 Dallas Texas 75230 972 991 8466. 1) Make the correct diagnosis.

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Trigeminal Neuralgia How Can A Neurologist Help? Summary of a presentation to Dallas TN Association November 7 th , 2007

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Trigeminal Neuralgia How Can A Neurologist Help?Summary of a presentation to Dallas TN AssociationNovember 7th, 2007

Norma Melamed, MD

12810 Hillcrest Road

Suite B220

Dallas

Texas 75230

972 991 8466


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1) Make the correct diagnosis

  • Trigeminal neuralgia (TN) is excruciating, brief, electric shock-like facial pain, occurring mostly after age 40

  • Multiple pain triggers: brushing teeth, chewing, talking, cold air, eating, etc

  • Neurologic examination to rule out other causes of pain


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2) Investigative testing

  • MRI brain scan – exclude stroke, tumor, MS

  • Magnetic Resonance Arteriogram (MRA) – exclude aneurysms, vascular malformations


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3) Medical management of pain

  • Carbamazepine, oxcarbazepine, gabapentin, pregabalin, phenytoin, valproate, lamotrigine, topiramate, clonazpam, baclofen, amitriptyline, duloxetine, are frequently prescribed


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4) Advise when to consider surgery

  • If medical treatment fails

  • If medication side-effects are intolerable


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5)Conclusion

  • TN is a very treatable disorder that can usually be managed medically, and long-term control achieved


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