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Symptomatic trigeminal neuralgia

Description:Pain indistinguishable from Classical trigeminal neuralgia but caused by a demonstrable structural lesion other than vascular compression.

Diagnostic criteria:

  1. Paroxysmal attacks of pain lasting from a fraction of a second to 2 minutes, with or without persistence of aching between paroxysms, affecting one or more divisions of the trigeminal nerve and fulfilling criteria B and C.
  2. Pain has at least one of the following characteristics:
    1. intense, sharp, superficial or stabbing.
    2. precipitated from trigger areas or by trigger factors.
  3. Attacks are stereotyped in the individual patient.
  4. A causative lesion, other than vascular compression, has been demonstrated by special investigations and/or posterior fossa exploration.

There may be sensory impairment in the distribution of the appropriate trigeminal division. Unlike Classical trigeminal neuralgia, Symptomatic trigeminal neuralgia demonstrates no refractory period after a paroxysm.

References
1. The International Headache Society. The International Classification of Headache Disorders, 2nd edition. Written 2004. http://216.25.100.131/ihscommon/guidelines/pdfs/ihc_II_main_no_print.pdf

If the above link for (1) does not work go here http://www.teethremoval.com/ihc_II_main_no_print.pdf

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