Rasmussen P
University Clinics of Neurosurgery, Aarhus Municipal Hospital, Denmark.
Acta Neurochir (Wien). 1990;107(3-4):121-8. doi: 10.1007/BF01405790.
The material, definition, delimitation, and classification of facial pain, general data, hereditary conditions, and previous diseases have been discussed in a preceding study. According to the character of the attacks the material has been classified into TTN = Typical Trigeminal Neuralgia (1/4), ATN = Atypical Trigeminal Neuralgia (1/4), and NNFP = Non-neuralgiform Facial Pain (1/2). The typical Trigeminal Neuralgia is a transitory, shooting pain, well defined. The other two groups are less well defined. The patients come to be treated by specialists 1-5 years after the onset of pain. The oral cavity is often perceived as the origin of the pain. A systematic examination shows that demonstrable pathological diseases in the masticatory organs are rarely connected with the pain condition. Dental treatment has provided poor results. Facial pain is a very constant phenomenon which does not- or only to a negligible degree--change over an agelong course. In the present material 8 characters of pain are used: Shooting-cutting, boring, squeezing-pressing, throbbing-hammering, dull, burning-smarting, prickling-sticking, paraesthetic. With the exception of a few cases of apoplexy and herpes zoster there is no pain reaction which can be referred to on an aethilogical basis.
面部疼痛的材料、定义、界定和分类、一般数据、遗传状况及既往疾病已在前一项研究中进行了讨论。根据发作特征，材料被分为TTN = 典型三叉神经痛（1/4）、ATN = 非典型三叉神经痛（1/4）和NNFP = 非神经样面部疼痛（1/2）。典型三叉神经痛是一种短暂的、刺痛性疼痛，界限明确。其他两组界限则不太明确。患者在疼痛发作1至5年后前来接受专科治疗。口腔常被视为疼痛的起源。系统检查表明，咀嚼器官中可证实的病理性疾病很少与疼痛状况相关。牙科治疗效果不佳。面部疼痛是一种非常持续的现象，在漫长病程中不会或仅在可忽略不计的程度上发生变化。在本材料中使用了8种疼痛特征：刺痛 - 切割样、钻痛、挤压 - 压迫样、搏动 - 锤击样、钝痛、烧灼 - 刺痛样、针刺 - 黏附样、感觉异常。除少数中风和带状疱疹病例外，没有可基于病因学提及的疼痛反应。
