Document Detail

Tic douloureux.
MedLine Citation:
PMID:  11854778     Owner:  NLM     Status:  MEDLINE    
Tic douloureux is an excruciatingly painful condition that primarily affects elderly people. It consists of unilateral electric shock-like facial pains triggered by non-noxious stimulation with clear-cut pain-free intervals. It should be discriminated from all other types of facial pain by the history and physical examination. Primary treatment includes anticonvulsant drugs; if these fail or side effects prevent their use, a surgical procedure is warranted. Almost every patient with tic douloureux can be relieved of his or her pain with anticonvulsant medications or surgery. Stereotactic radiosurgery, percutaneous gangliolysis and suboccipital craniectomy with microvascular decompression are the primary surgical options. The common aspects of tic douloureux and some of the rarer variations are reviewed, and treatment options are presented.
J D Loeser
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Pain research & management : the journal of the Canadian Pain Society = journal de la société canadienne pour le traitement de la douleur     Volume:  6     ISSN:  1203-6765     ISO Abbreviation:  Pain Res Manag     Publication Date:  2001  
Date Detail:
Created Date:  2002-02-20     Completed Date:  2002-04-18     Revised Date:  2009-05-22    
Medline Journal Info:
Nlm Unique ID:  9612504     Medline TA:  Pain Res Manag     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  156-65     Citation Subset:  IM    
Department of Neurological Surgery and Anesthesiology, University of Washington School of Medicine, Seattle, 98195, USA.
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MeSH Terms
Anticonvulsants / therapeutic use
Diagnosis, Differential
Nervous System Diseases / complications,  drug therapy
Trigeminal Neuralgia* / drug therapy,  etiology,  physiopathology,  surgery
Reg. No./Substance:

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