Ramirez H, Martinez C, Oliva J, Montini C
Odontol Chil. 1989 Apr;37(1):197-202.
A sample of 228 patients with facial pain is reported in the present paper. Among them, 112 cases are typical idiopathic trigeminal neuralgias, 111 are cases of secondary facial pain (including 7 cases symptomatic trigeminal neuralgias) and 5 patients were classified as vascular facial pain. Among the 119 cases of clinically diagnosed trigeminal neuralgias there were 112 (94, 11%) with no evidence of organic cause. Only 7 cases (5.89%) were identified as organic, including 3 cases of bulbar and pontic vascular lesions, 2 cases of iatrogenic injuries following neurosurgery, 1 case of meningioma of the ponto-cerebellar angle and 1 case of neurosyphillis. The most frequent conditions that produce secondary facial pain were: miofacial pain syndrome, sinusitis, cervical vertebral lesions, post herpetic neuralgias, malignant head and neck tumours and encephalic vascular lesions of the pain pathway.
本文报告了228例面部疼痛患者的样本。其中，112例为典型的特发性三叉神经痛，111例为继发性面部疼痛（包括7例症状性三叉神经痛），5例被归类为血管性面部疼痛。在119例临床诊断为三叉神经痛的病例中，有112例（94.11%）没有器质性病因的证据。只有7例（5.89%）被确定为器质性病变，包括3例延髓和脑桥血管病变、2例神经外科手术后的医源性损伤、1例桥小脑角脑膜瘤和1例神经梅毒。导致继发性面部疼痛最常见的情况是：面肌疼痛综合征、鼻窦炎、颈椎病变、带状疱疹后神经痛、头颈部恶性肿瘤以及疼痛通路的脑血管病变。
