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Trigeminal Neuralgia How Can A Neurologist Help? Summary of a presentation to Dallas TN Association November 7 th , 2 PowerPoint 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 AssociationNovember 7th, 2007

Norma Melamed, MD

12810 Hillcrest Road

Suite B220

Dallas

Texas 75230

972 991 8466

1 make the correct diagnosis
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
2 investigative testing
2) Investigative testing
  • MRI brain scan – exclude stroke, tumor, MS
  • Magnetic Resonance Arteriogram (MRA) – exclude aneurysms, vascular malformations
3 medical management of pain
3) Medical management of pain
  • Carbamazepine, oxcarbazepine, gabapentin, pregabalin, phenytoin, valproate, lamotrigine, topiramate, clonazpam, baclofen, amitriptyline, duloxetine, are frequently prescribed
4 advise when to consider surgery
4) Advise when to consider surgery
  • If medical treatment fails
  • If medication side-effects are intolerable
5 conclusion
5)Conclusion
  • TN is a very treatable disorder that can usually be managed medically, and long-term control achieved