Oral Biology Research (구강생물연구)

The Institute of Dental Science, Chosun University (조선대학교 치의학연구원)
권호 표지

Clinical features and management of the patients with trigeminal neuralgia in Korea

삼차신경통 환자의 임상적 특징 및 관리

  • Ahn, Jong-Mo (Department of Oral Medicine, School of Dentistry, Chosun University) ;
  • Kim, Jun-Ho (Department of Oral Medicine, School of Dentistry, Chosun University) ;
  • Hong, Seong-Ju (Department of Oral Medicine, School of Dentistry, Chosun University)
  • 안종모 (조선대학교 치의학전문대학원 구강내과학교실) ;
  • 김준호 (조선대학교 치의학전문대학원 구강내과학교실) ;
  • 홍성주 (조선대학교 치의학전문대학원 구강내과학교실)
  • Published : 2011.09.30
⟨ Previous Next ⟩

Abstract

Purpose: Trigeminal neuralgia (TN) is a severe unilateral paroxysmal, lacinating facial pain. The diagnosis of TN is based on several characteristic clinical features. The purpose of this study was to evaluate the clinical manifestations of TN patients treated at the Department of Oral Medicine, Chosun University Dental Hospital. Materials and Methods: A total of 56 patients with TN from January 2008 to December 2009 was included for this study. We investigated the gender, age and systemic diseases of patients, the sites of pain, the methods and duration of treatment and the course that comes to department of oral medicine. 89.3% of the patients were over 40 years of age and 64.3% were women. Results: Patients with TN had mainly diseases of the circulatory system and endocrine diseases. The two most frequently involved trigeminal nerve brandches were mandibular (53.6%) and maxillary (32.1%) branches. 94.6% of the patients were treated by medication and 92.8% of the patients controlled the pain within 6 months. And we could know that 32.1% of the patients were comes to the Department of Oral Medicine within 2 months after occurrence of the symptom and 89.3% of the patients were comes to the Department of Oral Medicine via other clinics or hospitals and other Department of Chosun Univerisity Dental Hospital.

Keywords

References

  1. Ahn JM: The classification and diagnosis of neruopathic orofacial pain. J Korean Dental Association 49:316-320, 2011. (Korean)
  2. Bennetto L, Patel NK, Fuller G: Trigemnial neuralgia and its management. BMJ 334:201-205, 2007.
  3. Cheshir WP: Trigeminal neuralgia: diagnosis and treatment. Curr Neurol Neurosis Rep 5:79-85, 2005.
  4. Han KR, Kim YS, Kim C: Clinical features of trigeminal neuralgia. Korean J Pain 20:174-180, 2007. (Korean)
  5. Heo JY, Tae IH, Ko MY, Ahn YW: The effects of low level laser therapy on current perception in trigeminal neuralgia patients. Korean J Oral Med 33:97-103, 2008. (Korean)
  6. Hong SJ, Kang SW, Ryu JW, Yoon CL, Cho YG, Ahn JM: Epidermiologic study on the elderly patients visited oral medicine. Korean J Oral Med 34:133-141, 2009. (Korean)
  7. Jeon YM, Tae IH, Choi JH, Ahn HJ, Shim WH, Kwon JS: Clinical consideration of trigeminal neuralgia. Korean J Oral Med 32:449-453, 2007. (Korean)
  8. Katusic S, Beard CM, Bergstralh E, Kurland LT: Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984. Ann Neurol 27:89-95, 1990.
  9. Kim IJ, Choi JH, Kim JY: The analysis of dental hospital patients with trigeminal neuralgia. Korean J Oral Med 25:235-240, 2000. (Korean)
  10. Ko YJ, Kim KY, Hur YK, Choi JK: A study on clincal features and pharmacologic treatment outcomes of patients with trigemnial neuralgia. Korean J Oral Med 34:207-216, 2009. (Korean)
  11. Nam CO, Park JS, Ko MY: A study on the clincial feature and treatment outcome of patients with trigeminal neuralgia. Korean J Oral Med 24:315-323, 1999. (Korean)
  12. Neto HS, Camilli JA, Marques MJ: Trigeminal neuralgia is caused by maxillary and mandibular nerve entrapment: greater incidence of right-sided facial symptoms is due to the foramen rotundum and foramen ovale being narrower on the right side of the cranium. Med Hypotheses 65:1179-1182, 2005.
  13. Nurmikko TJ, Eldridge PR: Trigeminal neuralgia-Pathophysiology, diagnosis and current treatment. Br J Anaesth 87:117-132, 2001. https://doi.org/10.1093/bja/87.1.117
  14. Prasad S, Galetta S: Trigeminal neuralgia: historical notes and current concepts. Neurologist 15:87-94, 2009.
  15. Scrivani SJ, Mathews ES, Maciewicz RJ: Trigeminal neuralgia. Oral Surg Oral Med Oral Pathol Oral Radiol Endol 100:527-538, 2005.
  16. Yoshimasu F, Kurland LT, Elveback LR: Tic douloureux in Rochester, Minnesota, 1945-1969. Neurology 22:952-956, 1972.
  17. Zakrzewska JM: Diagnosis and differential diagnosis of tregeminal neuralgia. Clin J Pain 18:14-21, 2002.