Dieckmann H
MMW Munch Med Wochenschr. 1978 May 12;120(19):653-6.
Trigeminal neuralgia (Tr. N.) occurring as tic douloureux usually proves to be senile neuralgia without any etiological background. On the other hand, isolated Tr. N. of the first ramus suggests the process. Bilateral Tr. N. are rare yet most frequently an expression of a multiple sclerosis with attacks first on one side and then on the other. Symptomatic Tr. N. occurs seldom as perhaps in M.S., only as tic douloureux, usually as a continuous pain with more or less acute exacerbations. Tr. N. are therapeutically problematic after operative treatment of the maxillary sinuses, still more so after herpes zoster. Other neuralgias and facial neuralgias (e.g. a glossopharyngeal neuralgia, nasociliary neuralgia, Sluder's neuralgia, Costen's syndrome, Horton's syndrome etc.) must be diagnostically differentiated from Tr. N.
三叉神经痛（Tr. N.）表现为痛性抽搐，通常被证明是无任何病因背景的老年性神经痛。另一方面，第一支单独的三叉神经痛提示该病程。双侧三叉神经痛很少见，但最常见于多发性硬化症，发作先在一侧，然后在另一侧。症状性三叉神经痛很少见，可能如在多发性硬化症中一样，仅表现为痛性抽搐，通常为伴有或多或少急性加重的持续性疼痛。在上颌窦手术治疗后，三叉神经痛的治疗存在问题，在带状疱疹后更是如此。其他神经痛和面部神经痛（如舌咽神经痛、鼻睫状神经痛、斯路德神经痛、科斯坦综合征、霍顿综合征等）必须与三叉神经痛进行鉴别诊断。
