Trigeminal neuralgia typically produces (unilateral/bilateral) , repetitive, shooting pain in the distribution of the trigeminal nerve that lasts about one minute.
USMLE® Step 1 style questions USMLE
USMLE® Step 2 style questions USMLE
A 35-year-old female presents to the office with the complaint of right-sided facial pain. Medical history includes stabbing electric shocks exacerbated by eating, brushing her teeth and a brisk breeze across her face. The pain lasts a few seconds and rarely up to a couple of minutes. Physical examination shows normal facial sensation, normal bulk in the masseters bilaterally, and intact extra-ocular muscles. Which is the most appropriate treatment in this patient?