This journal only 2018, Number 3 Rev ADM 2018; 75 (3) Trigeminal neuralgia: a clinical case Grin EJ, Grin P, Rocha NML Full text How to cite this article Language: Spanish References: 17 Page: 164-167 PDF size: 281.17 Kb. Key words: Neuralgia, trigeminal, pain, orofacial. ABSTRACT Background: Trigeminal neuralgia (TN) is a disease that is characterized by a highly intense pain in the orofacial region, unilateral, intermittent with electric shocks, abrupt in onset and termination. It is limited to one or more of the distributions of the TN and is triggered by innocuous stimuli. Objective: To show the difficulty to effectively diagnose TN in which the patient apparently presents with tooth pain. Material and methods: A 73 year-old male patient refers pain in tooth number 24 for two years. The intensity of the pain using the visual analog scale is between 3/10 up to 10/10 stabbing pain accompanied by an electric shock sensation, which lasts 3 to 5 seconds, 30 to 50 times a day. In order to treat the present pain in tooth number 24, the patient has seen various medical and dental specialists without relief. In order to come to the correct diagnosis patient interrogation which includes medial history, dental history, separately a clinical exam, radiographic exam, computerized tomography and magnetic resonance imaging as well as blood laboratory testing. Results: Based on findings of the clinical exam, radiographic examinations a diagnosis of type-1 TN was issued. After a review of the blood laboratory testing the patient was started on a schedule of carbamazepine. In the last follow-up appointment the patient refers a complete reduction of his pain. Conclusion: Trigeminal neuralgia is characterized by intense pain in the orofacial region that frequently presents with apparent odontogenic etiology. It is the responsibility of the dental profession to have knowledge of the symptoms of the disease in order to provide an accurate diagnosis and avoid unnecessary and irreversible dental treatments. REFERENCES Sgarbi N, Saibene A, Telis O, Doassans I, Boschi J, Soria V. Anatomy of the trigeminal nerve. Key anatomical facts for MRI examination of trigeminal neuralgia. Rev Imagenol. 2009; 12 (2): 28-33. García-Hernández MG, Sánchez-Rodríguez JP, Tenopala-Villegas S. Neuralgia del trigémino. An Med (Mex). 2012; 57 (1): 39-47. Santos-Franco J, Santos-Ditto R, Revuelta-Gutiérrez R. Neuralgia del trigémino. Arch Neurocien. 2005; 10 (2): 95-104. International Headache Society; 2016. [Acceso 23 de enero de 2018]. Disponible en: https://www.ichd-3.org/13-painful-cranial-neuropathies-and-other-facial-pains/13-1-trigeminal-neuralgia/ Yadav S, Mittal HC, Sachdeva A, Verma A, Dhupar V, Dhupar A. A retrospective study of 72 cases diagnosed with idiopathic trigeminal neuralgia in indian populace. J Clin Exp Dent. 2015; 7 (1): e40-e44. De Toledo IP, Conti Réus J, Fernandes M, Porporatti AL, Peres MA, Takaschima A et al. Prevalence of trigeminal neuralgia: A systematic review. J Am Dent Assoc. 2016; 147 (7): 570-576.e2. Sindrup SH, Jensen TS. Pharmacotherapy of trigeminal neuralgia. Clin J Pain. 2002; 18 (1): 22-27. Steardo L, Leo A, Marano E. Efficacy of baclofen in trigeminal neuralgia and some other painful conditions. A clinical trial. Eur Neurol. 1984; 23 (1): 51-55. Pollock BE, Ecker RD. A prospective cost-effectiveness study of trigeminal neuralgia surgery. Clin J Pain. 2005; 21 (4): 317-322. von Eckardstein KL, Keil M, Rohde V. Unnecessary dental procedures as a consequence of trigeminal neuralgia. Neurosurg Rev. 2015; 38 (2): 355-360; discussion 360. Reddy GD, Viswanathan A. Trigeminal and glossopharyngeal neuralgia. Neurol Clin. 2014; 32 (2): 539-552. Siviero M, Alvarez FK, Okada M, Teixeira MJ, de Siqueira JT, de Siqueira SR. Facial sensibility of patients with trigeminal neuralgias. Clin Neurol Neurosurg. 2011; 113 (4): 268-271. Timarova G, teňo A. Late-onset jaw and teeth pain mimicking trigeminal neuralgia associated with chronic vagal nerve stimulation: case series and review of the literature. BMC Neurol. 2017; 17 (1): 113. Baić Kes V, Zadro Matovina L. Accommodation to diagnosis of trigeminal neuralgia. Acta Clin Croat. 2017; 56 (1): 157-161. Feller L, Khammissa RAG, Fourie J, Bouckaert M, Lemmer J. Postherpetic neuralgia and trigeminal neuralgia. Pain Res Treat. 2017; 2017: 1681765. Qin Z, Xie S, Mao Z, Liu Y, Wu J, Furukawa TA et al. Comparative efficacy and acceptability of antiepileptic drugs for classical trigeminal neuralgia: a Bayesian network meta-analysis protocol. BMJ Open. 2018; 8 (1): e017392. Hadjipanayis CG, Carlson ML, Link MJ, Rayan TA, Parish J, Atkins T et al. Congress of neurological surgeons systematic review and evidence-based guidelines on surgical resection for the treatment of patients with vestibular schwannomas. Neurosurgery. 2018; 82 (2): E40-E43.