title: Pre-trigeminal neuralgia.
abstract: Eighteen patients who subsequently developed typical trigeminal neuralgia experienced a prodromal pain termed "pre-trigeminal neuralgia." These patients described their prodromal pain as a toothache or sinusitis-like pain lasting up to several hours, sometimes triggered by jaw movements or by drinking hot or cold liquids. Typical trigeminal neuralgia developed a few days to 12 years later, and in all cases affected the same division of the trigeminal nerve. Six additional patients experiencing what appeared to be pre-trigeminal neuralgia became pain-free when taking carbamazepine or baclofen. Recognition of pretrigeminal neuralgia makes it possible to relieve the pain with appropriate medications and avoid unnecessary irreversible dental procedures.
authors.affiliation: University of Pittsburgh School of Medicine, PA 15261.
authors.forename: G H
authors.initials: GH
authors.lastname: Fromm
authors.forename: S B
authors.initials: SB
authors.lastname: Graff-Radford
authors.forename: C F
authors.initials: CF
authors.lastname: Terrence
authors.forename: W H
authors.initials: WH
authors.lastname: Sweet
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002220:Carbamazepine / Q000627:therapeutic use; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007568:Jaw; D007592:Joint Diseases / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D010146:Pain; D010672:Phenytoin / Q000627:therapeutic use; D014277:Trigeminal Neuralgia / Q000209:etiology*
chemical_list: D002220:Carbamazepine; D010672:Phenytoin