Comprehensive Management of Trigeminal Neuralgia Patients-A Literature Review

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Dr.Killampalli Y V Satyanarayana, Prof. Dr.Madhulaxmi M, Dr.Melvin George, Dr.Sabari Nathan Rajamoorthy, Dr.P.V.Lakshmi Prasanna

Abstract

Aim and Objective: To review the surgical intervention and botox in the management of Trigeminal neuralgia (TN) based on the findings in the literature.


Materials and methods: A literature review was conducted using PubMed and Cochrane search engines to explore the data available on the management of TN. Clinical features and various treatment modalities were analyzed by the authors. The identified studies were evaluated and data was reported on the different aspects of the surgical and botox intervention to treat trigeminal neuralgia.


Discussion:  neuropathic pain was very hard to manage due to its recurrence. Management of the disorder can be medical or surgical, though microvascular decompression has the highest remission rate, the nonsurgical approach has vital importance in patients’ view. Botox can help in the critical work-up of the disorder and eliminate other possible causes.


 Conclusion: Botox may be an effective and safe treatment option for patients with TN. Further larger and well-designed RCTs are encouraged to translate these findings into better clinical outcomes and better quality of life for TN patients.                               

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