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Practice Parameter: The Diagnostic Evaluation and Treatment of Trigeminal Neuralgia (An Evidence-Based Review): Report of the Quality Standards Subcommittee of the AAN & EFNS
Neurol 71:1183-1190, Gronseth,G.,et al, 2008
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Article Abstract
In patients with trigeminal neuralgia (TN), routine head imaging identifies structural causes in up to 15% of patients and may be considered useful (level C). Trigeminal sensory deficits, bilateral involvement of the trigeminal nerve, and abnormal trigeminal reflexes are associated with an increase risk of symptomatic TN (STN) and should be considered useful in distinguishing STN from classic trigeminal neuralgia (level B). There is insufficient evidence to support or refute the usefulness of MRI to identify neurovascular compression of the trigeminal nerve (level U). Carbamazepine (level A) or oxcarbazepine (level B) should be offered for pain control while baclofen and lamotrigine (level C) may be considered useful For patients with TN refractory to medical therapy, Gasserian ganglion percutaneous techniques, gamma knife, and microvascular decompression may be considered (level C). The role of surgery vs pharmacotherapy in the management of TN in patients with MS remains uncertain.
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cranial nerves,vascular compression
evidence-based research
facial pain
gamma knife therapy
MRI,indications for
neurologic disease,diagnoses of
practice guidelines
review article
treatment of neurologic disorder
trigeminal neuralgia
trigeminal neuralgia,etiology
trigeminal neuralgia,pathogenesis of
trigeminal neuralgia,surgical treatment of
trigeminal neuralgia,treatment of

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