YOUR COMPLETE GUIDE TO TRIGEMINAL NEURALGIA
Table of Contents
Part One: Characteristics and Causes of Trigeminal Neuralgia
I. An Overview of Trigeminal Neuralgia (Tic Douloureux)
II. Anatomy of the Trigeminal Nerve
III. Types of Trigeminal Neuralgia and Their Causes
A. Introduction
B. Typical Trigeminal Neuralgia
C. Atypical Trigeminal Neuralgia
D. Pre-Trigeminal Neuralgia
E. Multiple-Sclerosis-Related Trigeminal Neuralgia
F. Secondary or Tumor Related Trigeminal Neuralgia
G. Trigeminal Neuropathy or Post-Traumatic Trigeminal Neuralgia
H. "Failed" Trigeminal Neuralgia
Part Two: Treatment of Trigeminal Neuralgia
I. Overview of Treatments
II. Medications
A. Introduction
B. Carbamazepine (Tegretol®![]()
C. Phenytoin (Dilantin®
D. Baclophen (Lioresal®![]()
E. Gabapentin (Neurontin®![]()
F. Trileptal (Oxycarbazepine®![]()
III. Surgery
A. Overview
B. Microvascular Decompression Surgery
C. Nerve Injury/Destructive Procedures (Rhizotomies)
1. Introduction
2. Types of Rhizotomies
a. Percutaneous Glycerol Rhizotomy
b. Percutaneous Balloon Compression Rhizotomy
c. Radiofrequency Rhizotomy
d. Stereotactic Radiosurgery (Gamma Knife)
e. Peripheral Trigeminal Nerve Blocks, Sectioning and Avulsions
f. Microsurgical Rhizotomy
Correspondence may be addressed to:
Anthony M. Kaufmann, MD, BSc(Med), MSc, FRCSC
Associate Professor, Section of Neurosurgery
Director, Centre For Cranial Nerve Disorders, Winnipeg
GB137 Health Sciences Centre
820 Sherbrook Street
Winnipeg, MB R3A 1R9
Tel: (204) 787-7263
Fax: (204) 787-3851







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