The Challenges in Clinical Diagnosis of Trigeminal Neuralgia: A Review.

Autor: Pergolizzi JV; Pain Medicine, NEMA Research, Inc., Naples, USA., LeQuang JAK; Scientific Communications, NEMA Research, Inc., Naples, USA., El-Tallawy SN; Anesthesia and Pain Management, Faculty of Medicine, Minia University and NCI, Cairo University, Cairo, EGY.; Anesthesia and Pain Management, College of Medicine, King Khalid University Hospital, King Saud University, Riyadh, SAU., Ahmed RS; College of Medicine, Alfaisal University, Riyadh, SAU., Wagner M; Entrepreneur Program, NEMA Research, Inc., Naples, USA., Varrassi G; Pain Medicine, Paolo Procacci Foundation, Rome, ITA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2024 Jun 07; Vol. 16 (6), pp. e61898. Date of Electronic Publication: 2024 Jun 07 (Print Publication: 2024).
DOI: 10.7759/cureus.61898
Abstrakt: The lack of established laboratory tests or biomarkers for trigeminal neuralgia (TN) makes diagnosing this relatively rare condition extremely challenging. Trigeminal nerve compression observable on magnetic resonance imaging may indicate TN, but many patients do not have visible lesions or compression. In particular, TN may be confused with migraine, cluster headache, temporomandibular disorder, and other types of headache. An accurate diagnosis is imperative for proper treatment since these conditions do not respond to the same treatment. Many symptoms of these headaches can be vague or overlap, and clinicians depend in large measure on the subjective reports of their patients. Nevertheless, it is imperative to diagnose TN better, which can cause excruciating pain, reduce the quality of life, and even result in disability. It is possible that TN is underestimated.
Competing Interests: Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.
(Copyright © 2024, Pergolizzi et al.)
Databáze: MEDLINE