Clinical characteristics of trigeminal neuralgia in a dental hospital

ABSTRACTObjectives: To investigate the clinical characteristics of patients with trigeminal neuralgia referred to surgery in a center of reference.Methods: We evaluated the general characteristics of 395 patients with trigeminal neuralgia referred to neurosurgery as treatment. They corresponded to 2 samples of 1984 and 2004. The EDOFHC protocol (Orofacial Pain Questionnaire) and the medical profile were used.Results: In the first study (1984), with 290 patients, the higher prevalence was: women (57.3%), white (95.5%), with mean age of 62.5. The most affected trigeminal branches were the maxillary and / or mandibular branches (65.5%), and the right side was the most affected (57.6%). From the second study (2004), with 105 patients, 57.1% were women, 75.2% white, with a mean age of 60.8. The maxillary and / or mandibular branches (79.0%) and the right side (69.5%) were the most affected. Both samples had neurological abnormalities and systemic diseases (mainly cardiovascular).Conclusions: General characteristics of these patients were similar to other samples of trigeminal neuralgia. Neurological findings were also present in patients with no previous surgical treatment for TN. Hypertension and cardiac diseases were also frequent and make the monitoring of the patients during crises necessary. (Eur J Dent 2009;3:207-212)

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Association between neurovascular contact and clinical characteristics in classical trigeminal neuralgia: A prospective clinical study using 3.0 Tesla MRI

Cephalalgia ◽

10.1177/0333102414566819 ◽

2015 ◽

Vol 35 (12) ◽

pp. 1077-1084 ◽

Cited By ~ 20

Author(s):

Stine Maarbjerg ◽

Frauke Wolfram ◽

Aydin Gozalov ◽

Jes Olesen ◽

Lars Bendtsen

Keyword(s):

Trigeminal Neuralgia ◽

Clinical Characteristics ◽

Cross Sectional Study ◽

Prospective Clinical Study ◽

Structured Interviews ◽

3.0 Tesla ◽

Cross Sectional ◽

Classical Trigeminal Neuralgia ◽

Duration Of Disease ◽

Symptomatic Side

Background Previous studies demonstrated that a severe neurovascular contact (NVC) causing displacement or atrophy of the trigeminal nerve is highly associated with classical trigeminal neuralgia (TN). There are no studies describing the association between the clinical characteristics of TN and severe NVC. Methods Clinical characteristics were prospectively collected from consecutive TN patients using semi-structured interviews in a cross-sectional study design. We evaluated 3.0 Tesla MRI blinded to the symptomatic side. Results We included 135 TN patients. Severe NVC was more prevalent in men (75%) compared to women (38%) ( p < 0.001), and the odds in favor of severe NVC on the symptomatic side were 5.1 times higher in men compared to women (95% CI 2.3–10.9, p < 0.001). There was no difference between patients with and without severe NVC in age (≥60 years vs. <60) (OR 1.6 95% CI (0.8–3.4), p = 0.199) or duration of disease ( p = 0.101). Conclusions Severe NVC was much more prevalent in men than in women, who may more often have other disease etiologies causing or contributing to TN. Severe NVC was not associated with age or with duration of disease.

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Prevalence and clinical characteristics of headache in dental students of a tertiary care teaching dental hospital in Northern India

International Journal of Basic & Clinical Pharmacology ◽

10.5455/2319-2003.ijbcp20130110 ◽

2013 ◽

Vol 2 (1) ◽

pp. 51 ◽

Cited By ~ 9

Author(s):

Ruchika Nandha ◽

Mahinder Chhabra

Keyword(s):

Clinical Characteristics ◽

Tertiary Care ◽

Dental Students ◽

Care Teaching ◽

Northern India ◽

Dental Hospital

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Clinical Characteristics, Pain, and Quality of Life Experiences of Trigeminal Neuralgia in a Multi-Ethnic Asian Cohort

Journal of Oral & Facial Pain and Headache ◽

10.11607/ofph.1793 ◽

2017 ◽

Vol 31 (4) ◽

pp. e15-e20 ◽

Cited By ~ 2

Author(s):

Cheng-Yin Tan ◽

Nortina Shahrizaila ◽

Khean-Jin Goh

Keyword(s):

Quality Of Life ◽

Trigeminal Neuralgia ◽

Clinical Characteristics ◽

Life Experiences ◽

Asian Cohort

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Trigeminal Neuralgia - A Prospective Systematic Study of Clinical Characteristics in 158 Patients

Headache The Journal of Head and Face Pain ◽

10.1111/head.12441 ◽

2014 ◽

Vol 54 (10) ◽

pp. 1574-1582 ◽

Cited By ~ 108

Author(s):

Stine Maarbjerg ◽

Aydin Gozalov ◽

Jes Olesen ◽

Lars Bendtsen

Keyword(s):

Trigeminal Neuralgia ◽

Systematic Study ◽

Clinical Characteristics

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Prevalence of trigeminal neuralgia among dental patients - An institutional study

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11ispl4.4006 ◽

2020 ◽

Vol 11 (SPL4) ◽

pp. 628-634

Author(s):

Prashaanthi N ◽

Santhosh Kumar M P ◽

Shantha Sundari K K

Keyword(s):

Trigeminal Neuralgia ◽

The Elderly ◽

Radiographic Examination ◽

P Value ◽

Age Group ◽

Elderly Age ◽

Dental Patients ◽

Dental Hospital ◽

The Face ◽

The Right

Trigeminal neuralgia is a chronic condition which produces severe pain involving a part of the face. The aim of this study was to evaluate the prevalence of trigeminal neuralgia among dental patients visiting a dental institution. This retrospective study included patients who were diagnosed with trigeminal neuralgia from July 2019 to March 2020 in a dental hospital. The digital case records of all patients were retrieved and details were recorded, which included the clinical, radiographic examination and treatment undergone by the patients. Variables such as age, gender, site of involvement were also retrieved from the case records. Data were tabulated and statistically analysed using IBM SPSS version 23.0 and results obtained. P value < 0.05 was considered statistically significant. In the present study, out of 28 patients, males (53.6%) were more affected by trigeminal neuralgia than females (46.4%) with a higher prevalence on the right side (57.1%). Quadrant I (25%) and combination of quadrant II and quadrant III (25%) were most commonly involved by this condition. No statistically significant association was found between age and quadrant affected; gender and quadrant affected. (p>0.05). It can be concluded from our study that males were more affected with trigeminal neuralgia, the majority involving the right side of the face and seen commonly among the elderly age group. Dentists must be aware of the clinical features of trigeminal neuralgia for accurate diagnosis and early initiation of prompt treatment to avoid untoward complications.

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Clinical Characteristics and Associated factors of Trigeminal Neuralgia in Addis Ababa, Ethiopia: Experience from Addis Ababa, Ethiopia

10.21203/rs.3.rs-35935/v1 ◽

2020 ◽

Author(s):

Biniyam Alemayehu Ayele ◽

Abenet Tafesse Mengesha ◽

Yared Zenebe Zewde

Keyword(s):

Trigeminal Neuralgia ◽

Associated Factors ◽

Clinical Characteristics ◽

Addis Ababa ◽

Mandibular Nerve ◽

Dental Extraction ◽

Prior History ◽

Number Of Patients ◽

The Face ◽

History Of

Abstract Background: Trigeminal neuralgia (TN) is considered one of the most painful illnesses known to medical practice. Little is known about TN in Ethiopia. Our study aimed to assess clinical characteristics, treatment, and associated factors of TN.Method: A cross-sectional study was conducted on a total of 61 patients with confirmed Trigeminal neuralgia visiting outpatient neurology clinics of two government teaching Hospitals and two private health facilities in Addis Ababa, Ethiopia between June 2019 and March 2020.Results: Our participants' age range between 21 and 78 years with mean ± SD age of 50.7 ± 14.2 years. Males accounted for 50.8%. Twenty-five (41%) reported a prior history of one or more tooth extraction on the painful side. In the majority (68.9%) of the patient's right side of the face was affected. The mandibular nerve was the commonly involved branch (47.5%). Fifty-five (90.2%) of patients fulfilled criteria for classical TN and 9.8% had symptomatic TN. The majority of the participants reported mixed types of pain such as burning, lancinating, and electric shock-like. Well defined trigger zone was identified in one-third (36%) of cases. Carbamazepine was the most commonly prescribed drug with a median dose of 600mg (IQR: 400 – 1000mg). Two-third of the patients reported prominent satisfaction. The mean (± SD) dose of carbamazepine used to control the pain was significantly higher among those with dental extraction history as compared to those with no history of dental extraction (736 ± 478.6mg Vs 661.1 ± 360.4mg, respectively, T = -2.06, p = 0.04 95% CI:-213.41 to -2.98). A statistically significant number of patients who had single branch involvement reported prominent satisfaction with their treatment as compared to those who had more than one branch involvement. (95% CI: 1.3-3.8: p = 0.006). Conclusion: The majority of our patients had Classical TN in the mandibular nerve distribution on the right side of the face and well satisfied with carbamazepine only treatment. Furthermore, we observed a higher proportion of dental extraction among our patients, hinting at the scale of miss and delayed-diagnoses. Thus, we recommend conducting a well-designed prospective study to support our findings.

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