{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,7]],"date-time":"2025-12-07T21:30:18Z","timestamp":1765143018020,"version":"build-2065373602"},"reference-count":40,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2012,10,3]],"date-time":"2012-10-03T00:00:00Z","timestamp":1349222400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Gerodontology"],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>The aim of this study was to investigate the diagnostic criteria and clinical presentations and compare the different treatment modalities in relation to prognosis in a sample of patients with the neuropathic disorder trigeminal neuralgia (<jats:styled-content style=\"fixed-case\">TN<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective review study of clinical records was conducted of 92 patients diagnosed with <jats:styled-content style=\"fixed-case\">TN<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The mean age[\u00b1\u00a0standard deviation (<jats:styled-content style=\"fixed-case\">SD<\/jats:styled-content>)] of the patients was 67.3\u00a0\u00b1\u00a012.7\u00a0years with an average <jats:styled-content style=\"fixed-case\">TN<\/jats:styled-content> duration of 7.1\u00a0\u00b1\u00a06\u00a0years and a female predominance (M:F\u00a0=\u00a01:2.5). The maxillary branch was the most involved nerve (in 45% of patients). Twelve patients underwent <jats:styled-content style=\"fixed-case\">CT<\/jats:styled-content> scans, while thirty\u2010six patients had <jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content>s. Carbamazepine used by 92.4% of patients was the most commonly used drug in the management of the disorder. Twenty\u2010two patients had microvascular decompression (<jats:styled-content style=\"fixed-case\">MVD<\/jats:styled-content>). <jats:styled-content style=\"fixed-case\">TN<\/jats:styled-content> symptoms were completely relieved following surgery in 73% of patients who underwent neurosurgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p><jats:styled-content style=\"fixed-case\">MRI<\/jats:styled-content> is highly sensitive in the exclusion of central intracranial lesions and recommended as a routine consideration during the assessment of <jats:styled-content style=\"fixed-case\">TN<\/jats:styled-content> patients. Despite the side effects, carbamazepine is the drug therapy of choice. <jats:styled-content style=\"fixed-case\">MVD<\/jats:styled-content> produces satisfactory relief of <jats:styled-content style=\"fixed-case\">TN<\/jats:styled-content> symptoms in the majority of cases and should be offered to young healthy patients.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ger.12011","type":"journal-article","created":{"date-parts":[[2012,10,4]],"date-time":"2012-10-04T00:57:08Z","timestamp":1349312228000},"page":"89-94","source":"Crossref","is-referenced-by-count":13,"title":["Trigeminal neuralgia: diagnostic criteria, clinical aspects and treatment outcomes. 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