A New Classification for Facial Pain

@article{Burchiel2003ANC,
  title={A New Classification for Facial Pain},
  author={Kim Burchiel},
  journal={Neurosurgery},
  year={2003},
  volume={53},
  pages={1164-1167}
}
  • K. Burchiel
  • Published 1 November 2003
  • Medicine
  • Neurosurgery
PURPOSEA patient-oriented classification scheme for facial pains commonly encountered in neurosurgical practice is proposed. CONCEPTThis classification is driven principally by the patient’s history. RATIONALEThe scheme incorporates descriptions for so-called “atypical” trigeminal neuralgias and facial pains but minimizes the pejorative, accepting that the physiology of neuropathic pains could reasonably encompass a variety of pain sensations, both episodic and constant. Seven diagnostic labels… 
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295 Citations
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Trigeminal neuralgia: definition and classification.
TLDR
The purpose of a classification scheme like this is to advocate a more rigorous, standardized natural history and outcome studies for TN and related facial pain syndromes.
A minimally invasive surgical technique for the treatment of posttraumatic trigeminal neuropathic pain with peripheral nerve stimulation.
TLDR
This surgical technique for placing peripheral nerve stimulators allows for a minimally invasive approach for the treatment of intractable posttraumatic trigeminal neuralgia with potentially less risk of facial nerve damage.
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TLDR
Vascular compression as the etiopathogenesis of TN, however, occurs in a minority of patients with facial pain, and facial pain that does not fit this description completely may also be associated with probable incidental vascular compression.
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TLDR
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The trigeminal tract and nucleus procedures in treatment of atypical facial pain.
Intrathecal Morphine Infusion for Trigeminal Deafferentation Pain Following Percutaneous Intervention for Unexplained Facial Pain: A Case Report
TLDR
Invasive neurosurgical interventions should be cautiously performed for continuous pain in persistent idiopathic facial pain and referred facial pain cases that do not show typical neuralgic pain in primary trigeminal neuralgia because of the risk of TDP.
Concomitant continuous pain in patients with trigeminal neuralgia is associated with trigeminal nerve root atrophy
TLDR
In patients with trigeminal neuralgia, concomitant continuous pain was associated with trigminal nerve root atrophy, therefore suggesting that this type of pain is likely related to axonal loss and abnormal activity in denervated trigeminals second-order neurons.
Invasive neurostimulation in facial pain and headache syndromes
Peripheral Stimulation for Treatment of Trigeminal Postherpetic Neuralgia and Trigeminal Posttraumatic Neuropathic Pain: A Pilot Study
TLDR
Peripheral nerve stimulation of the supraorbital or infraorbital branches of the trigeminal nerve is an effective method for relief of TNP after facial trauma or herpetic infection.
Motor cortex stimulation and neuropathic facial pain.
TLDR
The authors present a review of the literature, focusing on surgical technique, device programming, safety, and efficacy, and suggest some initial guidelines for standardization of these aspects.
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