Update on Trigeminal Neuralgia. [Review] (Record no. 4508)
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fixed length control field | 02795nam a22003497a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
fixed length control field | 190823s20192019 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER | |
International Standard Serial Number | 1092-8480 |
024 ## - OTHER STANDARD IDENTIFIER | |
Standard number or code | 10.1007/s11940-019-0583-0 [doi] |
024 ## - OTHER STANDARD IDENTIFIER | |
Standard number or code | 10.1007/s11940-019-0583-0 [pii] |
040 ## - CATALOGING SOURCE | |
Original cataloging agency | Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) | |
PMID | 31367794 |
245 ## - TITLE STATEMENT | |
Title | Update on Trigeminal Neuralgia. [Review] |
251 ## - Source | |
Source | Current Treatment Options in Neurology. 21(9):42, 2019 Jul 31. |
252 ## - Abbreviated Source | |
Abbreviated source | Curr Treat Options Neurol. 21(9):42, 2019 Jul 31. |
253 ## - Journal Name | |
Journal name | Current treatment options in neurology |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Year | 2019 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. | |
Manufacturer | FY2020 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] | |
Publication status | epublish |
266 ## - Date added to catalog | |
Date added to catalog | 2019-08-23 |
520 ## - SUMMARY, ETC. | |
Abstract | PURPOSE OF REVIEW: To review current treatments for trigeminal neuralgia, with an emphasis on determining which patients may benefit from neurosurgical procedures. |
520 ## - SUMMARY, ETC. | |
Abstract | RECENT FINDINGS: A detailed history is the most helpful tool for diagnosing trigeminal neuralgia (TN) and predicting response to neurosurgical treatments. Patients with classic trigeminal neuralgia will describe severe, unilateral, intermittent facial pain that is triggered by innocuous sensory stimuli. In most cases, pain is caused by compression of the trigeminal nerve by a blood vessel near the brainstem. Magnetic resonance imaging is necessary to rule out TN secondary to multiple sclerosis or tumor. Modern high-resolution T2 images may demonstrate neurovascular contact, particularly when analyzed by a neurosurgeon with expertise in TN. Initial management involves a trial of medication, usually carbamazepine or oxcarbazepine. Microvascular decompression (MVD) is safe and effective surgery, for patients with classic TN related to neurovascular compression. For patients with TN secondary to multiple sclerosis, and for patients who are otherwise poor candidates for MVD, neurosurgical options include percutaneous trigeminal rhizotomy and radiosurgery. Neurosurgical procedures are less effective in relieving atypical facial pain. In the clinical evaluation of a patient with facial pain, it is important to distinguish classic trigeminal neuralgia from atypical facial pain. A patient with classic trigeminal neuralgia would benefit from neurosurgical consultation. The advent of high-resolution MRI and MRA sequences now allows a neurosurgeon to detect when neurovascular compression is likely, and select the optimal procedure for treatment. |
546 ## - LANGUAGE NOTE | |
Language note | English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
Topical term or geographic name entry element | IN PROCESS -- NOT YET INDEXED |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME | |
Institution | MedStar Washington Hospital Center |
656 ## - INDEX TERM--OCCUPATION | |
Department | Neurosurgery |
657 ## - INDEX TERM--FUNCTION | |
Medline publication type | Journal Article |
657 ## - INDEX TERM--FUNCTION | |
Medline publication type | Review |
700 ## - ADDED ENTRY--PERSONAL NAME | |
Local Authors | Tai, Alex |
790 ## - Authors | |
All authors | Nayar VV, Tai AX |
856 ## - ELECTRONIC LOCATION AND ACCESS | |
DOI | <a href="https://dx.doi.org/10.1007/s11940-019-0583-0">https://dx.doi.org/10.1007/s11940-019-0583-0</a> |
Public note | https://dx.doi.org/10.1007/s11940-019-0583-0 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
Koha item type | Journal Article |
Item type description | Article |
Withdrawn status | Lost status | Damaged status | Not for loan | Collection | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
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MedStar Authors Catalog | MedStar Authors Catalog | 08/23/2019 | 31367794 | 31367794 | 08/23/2019 | 08/23/2019 | Journal Article |