Trigeminal neuralgia

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Summary of Trigeminal neuralgia

Trigeminal neuralgia, also known as prosopalgia, tic douloureux, or Fothergill's disease, is a neuropathic disorder characterized by episodes of intense pain in the face. It has been described as among the most painful conditions known. The pain originates from a variety of different locations on the face and may be felt in front of the ear, eye, lips, nose, scalp, forehead, cheeks, mouth, or jaw and side of the face.

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Trigeminal neuralgia

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Trigeminal neuralgia

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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?

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