Importance of specific orofacial pain diagnosis in a classic trigeminal neuralgia non-responsive to pharmacologic treatment. A case report

摘要

Classical Trigeminal Neuralgia (CTN) is a clinical conditioncharacterized by a sudden, usually unilateral, brief, and recurrentexcruciating pain paroxysms, with distribution in one or more divisionof the trigeminal nerve. Carbamazepine and oxcarbamazepineare often recommended as the first-line of medical treatment inmany clinical guidelines, providing an adequate pain relief in about90 % of the patients; of which those who are refractory to medicaltreatment should be considered for surgical treatment.