Pre-trigeminal neuralgia.
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.
Fromm
G H
GH
University of Pittsburgh School of Medicine, PA 15261.
Graff-Radford
S B
SB
Terrence
C F
CF
Sweet
W H
WH
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*
D002220:Carbamazepine; D010672:Phenytoin