Savitskaia O N, Karlov V A
Zh Nevropatol Psikhiatr Im S S Korsakova. 1989;89(4):3-8.
The results of 20 years of investigation in the light of current literature data are indicative of the trigeminal neuralgia being a separate disease with its specific etiology and pathogenesis. In 93 to 97% of the patients compression of a trigeminal branch or radicle were primary causes of the disease. This provided a basis for the secondary allogenic system of paroxysmal type which explains the high efficacy of a number of antiepileptic drugs. With a lack of a steady effect of a conservative treatment, a surgical decompression of the trigeminal branch or radicle is a method of choice.
根据当前文献数据进行的20年调查结果表明,三叉神经痛是一种具有特定病因和发病机制的独立疾病。在93%至97%的患者中,三叉神经分支或神经根受压是该病的主要病因。这为继发性阵发性同种系统提供了依据,解释了多种抗癫痫药物的高疗效。在保守治疗效果不持久的情况下,三叉神经分支或神经根的手术减压是首选方法。