Clinical Manual of Trigeminal Neuralgia and Facial Pain

Trigeminal neuralgia often goes unrecognized or is mistaken for other causes of facial pain, and while the cause often cannot be determined, it can be associated with multiple sclerosis, herpes zoster and various tumors. However, research into pain has grown exponentially over the past few years, and our understanding of mechanism and pharmacology has also developed. With newer medications and advances in surgical techniques, patients with trigeminal neuralgia now have more treatment options than ever before, and it is important that clinicians are aware of these in order to improve their care. Addressing this need, Clinical Manual of Trigeminal Neuralgia and Facial Pain familiarizes clinicians with the diagnosis of trigeminal neuralgia and also makes them aware of the newer treatments available. Key areas covered include the most up-to-date information on recent advances in diagnostic procedures, medical and surgical management, including gamma knife surgery, and guidelines on non-pharmacologic therapy. Written by a team from one of the leading centers for the study of neurologic head and neck pain, this is a highly useful practical reference for the clinician dealing with common and difficult-to-manage problems in this area. Research into pain has grown exponentially over the past few years, and our understanding of mechanism and pharmacology has also developed. Trigeminal neuralgia often goes unrecognized or is mistaken for other causes of facial pain, and while the cause often cannot be determined, it can be associated with multiple sclerosis, herpes zoster, and various tumors. With newer medications and advances in surgical techniques, patients with trigeminal neuralgia now have more treatment options than ever before, and it is important that clinicians are aware of these in order to improve their care. Clinical Manual of Trigeminal Neuralgia familiarizes clinicians with the diagnosis of trigeminal neuralgia and describe the range of current treatments available. Key areas covered include diagnostic procedures, medical and surgical management-including gamma knife surgery-and guidelines on non-pharmacologic therapy. Written by a team from one of the leading centers for the study of neurologic head and neck pain, this book is a highly practical reference for the clinician dealing with common and difficult-to-manage problems in this area Front cover 1 Clinical Manual of Trigeminal Neuralgia 4 Contents 6 Preface 8 Chapter 1. Evaluation of the facial pain patient 10 Chapter 2. Differential diagnosis of trigeminal neuralgia 16 Chapter 3. Pathogenesis and clinical approach to trigeminal neuralgia treatment 44 Chapter 4. Medical management of trigeminal neuralgia 70 Chapter 5. Surgical management of (classic/typical/idiopathic) trigeminal neuralgia 82 Chapter 6. Treatment of refractory trigeminal neuralgia 96 Index 106 Back cover 112 Trigeminal neuralgia often goes unrecognized or is mistaken for other causes of facial pain. This work familiarizes clinicians with the diagnosis of trigeminal neuralgia and also makes them aware of the newer treatments available. It also includes information on the advances in diagnostic procedures, and, medical and surgical management