Resumen
Definition
History and exam
Key diagnostic factors
- paroxismos estereotipados da dor facial
- ataques desencadeados por estimulação mecânica facial ou oral
- presença de fatores de risco
Other diagnostic factors
- alterações sensitivas/motoras
Risk factors
- envelhecimento
- esclerose múltipla
- mulheres
- hipertensão
Diagnostic tests
1st tests to order
- nenhum teste inicial
Tests to consider
- RNM
- teste do reflexo do trigêmeo
- radiografia intraoral
Treatment algorithm
neuralgia do trigêmeo (NT) recém-diagnosticada
neuralgia do trigêmeo clássica não responsiva a medicamentos
neuralgia do trigêmeo idiopática não responsiva a medicamentos
neuralgia do trigêmeo secundária não responsiva a medicamentos
Contributors
Authors
Gaetan Moise, MD
Clinical Instructor of Neurological Surgery
New York University Langone Medical Center
New York
NY
Disclosures
GM declares that he has no competing interests.
Acknowledgements
Professor Gaetan Moise would like to gratefully acknowledge Professor Christopher J. Winfree, a previous contributor to this topic.
Disclosures
CJW declares that he has no competing interests.
Peer reviewers
Alon Y. Mogilner, MD, PhD
Chief
Section of Functional and Restorative Neurosurgery
North Shore-Long Island Jewish Health System
New York
NY
Disclosures
AYM declares that he has no competing interests.
Richard K. Osenbach, MD
Assistant Professor
Division of Neurosurgery
Duke University Medical Center
Durham
NC
Disclosures
RKO declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
References
Key articles
Cruccu G, Finnerup NB, Jensen TS, et al. Trigeminal neuralgia: new classification and diagnostic grading for practice and research. Neurology. 2016 Jul 12;87(2):220-8.Full text Abstract
Bendtsen L, Zakrzewska JM, Abbott J, et al. European Academy of Neurology guideline on trigeminal neuralgia. Eur J Neurol. 2019 Jun;26(6):831-49.Full text Abstract
Gronseth G, Cruccu G, Alksne J, et al. Practice parameter: the diagnostic evaluation and treatment of trigeminal neuralgia (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the European Federation of Neurological Societies. Neurology. 2008 Oct 7;71(15):1183-90.Full text Abstract
Reference articles
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Differentials
- Cárie dentária
- Fratura dentária
- Osteomielite mandibular
More DifferentialsGuidelines
- ACR Appropriateness Criteria: cranial neuropathy
- ACR Appropriateness Criteria: headache
More GuidelinesPatient information
Neuralgia do trigêmeo
More Patient information
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