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Pitfals in recognition and management of trigeminal neuralgia

The Journal of Headache and Pain Jul 05, 2020

Antonaci F, Arceri S, Rakusa M, et al. - This study examined a total of 102 patients suffering from trigeminal neuralgia (TN) through a multicentric survey, in order to investigate the occurrence of diagnostic and therapeutic errors in TN. Researchers carried out to search Pubmed database on errors and pitfalls in TN diagnosis and management. They consecutively included patients with TN in the period between February 2017 and October 2019, by several European Headache Centers including in the study, following a call of the Headache and Pain Scientific Panels of the European Academy of Neurology (EAN).  They further assessed all the patients applying telephone/frontal interviews performed by headache/pain specialists using an ad hoc questionnaire. The outcomes of this research showed that while TN has typical features and it is well- characterized by the available international diagnostic criteria, it is still frequently misdiagnosed and mistreated. There is a requirement to improve the neurological understanding in order to promptly recognize the clinical picture of TN and properly adhere to the specific guidelines. The results can come on the favor for individuals, whose quality of life is usually severely impaired.

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