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The Evolution of Peripheral Nerve Treatment for Trigeminal Neuralgia - Peripheral Nerve Surgery

Review article

Abstrak

Neuralgia trigeminal biasanya menyebabkan kesakitan yang teruk dan tiba-tiba pada bahagian muka. Walaupun suntikan saraf periferi dapat megurangkan kesakitan dalam rawatan neuralgia trigeminal, kesan ini tidak berkekalan. Rawatan pembedahan pula merupakan rawatan alternatif bagi pesakit di mana rawatan perubatan tidak berkesan atau pesakit mengalami kesan sampingan yang teruk akibat ubat anti-konvulsan. Kebanyakan petugas kesihatan yang muda mungkin tidak sedar bahawa rawatan pembedahan adalah rawatan utama neuralgia trigeminal dari awal abad ke-19 sehingga tahun 1960-an. Ulasan ini merencanakan evolusi rawatan saraf periferi bagi neuralgia trigeminal sepanjang 150 tahun yang lalu. 

Abstract

Trigeminal neuralgia typically presents with a sudden and severe facial pain. Although peripheral nerve injection can produce good pain relief in the treatment of trigeminal neuralgia, their effect may not be permanent. Surgical treatment has always been an alternative for patients who do not respond well to medical treatment or, for those who are severely affected by the side effects of anti-convulsants. Unknown to most young healthcare providers, surgical treatment was the first line treatment at the turn of the 19th century till 1960s. This review narrates the evolution of peripheral nerve treatment for trigeminal neuralgia over the last 150 years.