[Clinical aspects of trigeminal neuralgia].
Primary trigeminal neuralgia, termed "classical" in the international nomenclature, is an epilepsy-like disease. Diagnosis is easy when the disorder typical in presentation, based on clinical features and responsiveness to anticonvulsants. However, diagnosis can be difficult when atypical and/or in the long-duration forms. Furthermore, trigeminal neuralgia - even if typical in its clinical aspects - may be caused by a specific lesion and reveal a pathology. In other words, it may be symptomatic (secondary). Imaging, especially MRI, is of prime importance in identifying the cause and guiding the appropriate treatment.
Laurent
B
B
Service de neurologie, hôpital Bellevue, CHU de Saint-Etienne, 42055 Saint-Etienne cedex 2, France.
Keravel
Y
Y
Sindou
M
M