Agrawal Mamta, Agrawal Vikrant, Agrawal Rajiv, Pramod D S R
Department of OMFS, Purvanchal Institute of Dental Sciences, GIDA, Gorakhpur, Uttar Pradesh, India.
Natl J Maxillofac Surg. 2010 Jan;1(1):71-3. doi: 10.4103/0975-5950.69161.
Trigeminal neuralgia (TN) is by no means an uncommon entity presenting as typical or atypical pain syndrome with a standard treatment protocol consisting of medical and surgical therapies. The diagnosis of TN is mainly dependent on the characteristics of symptoms conveyed by the patient and the clinical presentation. Careful history taking, proper interpretation of the signs and symptoms and cranial nerve assessment are necessary for proper diagnosis. Here, we report a case of TN, treated for dental problems and then for neuralgia with only short-term relief. Subsequently, the patient underwent neuroimaging and was found to be having an uncommon space-occupying lesion in the posterior cranial fossa.
三叉神经痛(TN)绝非罕见病症,它表现为典型或非典型疼痛综合征,有包括药物和手术治疗在内的标准治疗方案。TN的诊断主要取决于患者所描述症状的特点及临床表现。为做出准确诊断,仔细询问病史、正确解读体征和症状以及进行颅神经评估是必要的。在此,我们报告一例TN患者,最初因牙齿问题接受治疗,之后治疗神经痛但仅获得短期缓解。随后,该患者接受了神经影像学检查,发现后颅窝有一个罕见的占位性病变。