Erschienen in:
01.12.2023 | Research
Long-term pain outcomes in trigeminal neuralgia patients with concomitant continuous pain: a comparison of first-time microvascular decompression and percutaneous balloon compression
verfasst von:
Shuo Li, Guo Cheng, Yiwei Wu, Chenlong Liao, Wenchuan Zhang
Erschienen in:
Neurosurgical Review
|
Ausgabe 1/2023
Einloggen, um Zugang zu erhalten
Excerpt
Trigeminal neuralgia (TN), characterised by paroxysmal and electric shock-like facial pain in the distribution of the trigeminal nerve [
1], also presents with concomitant continuous pain (CCP) between attacks in a significant proportion of patients (20–60%) [
2‐
4]. Lancinating facial symptoms compromise the quality of life of patients and can even induce anxiety and depression [
5]. Fortunately, a deeper understanding of the aetiology of TN and its relevant treatments helps to ensure that pain relief can be achieved in most TN patients. CCP refers to continuous or long-lasting, dull, and throbbing pain with a distribution that is consistent with that of episodic pain, thus posing significant challenges in determining the aetiology, optimal diagnosis, and effective treatment of TN [
6]. The mechanisms of CCP remain unclear, and it is difficult to differentiate CCP from other types of chronic facial pain [
7]. In addition, several investigations have suggested that patients with CCP tend to respond poorly to medications and surgical interventions [
8,
9]. …