[Anesthesia dolorosa in the higher ages - example of problems in therapy (author's transl)].

Chronic forms of facial pain in higher decades of age demonstrate problems of therapy in this period of life. Following herpetic infections and operations in the course of the trigeminal nerve the anesthesia dolorosa is a complication often resistant to therapy. Observations in two patients with typical pain syndrome made clear, that besides common problems of therapy in the higher ages, disorders of communication influence especially every cooperation and every step of therapy, which the patient does. Independent os success in therapy, longtime-care and permanent allocation in the older patient must compensate the deficit of communication.