How is trigeminal neuralgia (TN) treated?

Updated: Oct 23, 2019
  • Author: Mityanand Ramnarine, MD, FACEP; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Answer

Care in the ED is generally limited to correct identification of trigeminal neuralgia (TN), consideration of alternative diagnosis, pain relief, and coordination of follow-up care.

Because of the time-limited character of pain with typical trigeminal neuralgia, patients often do not present to the ED for pain medication.

In some patients, the typically episodic pain becomes constant or so frequent as to be debilitating. Infusion of phenytoin is reportedly successful in interrupting such episodes, but the value of this therapy is anecdotal. [9, 10]

Coordinate therapy for refractory pain of trigeminal neuralgia with the primary care physician or consultants.


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