Different treatment methods in a patient with idiopathic trigeminal neuralgia
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Maxillofacial Surgery Department, Medical University, Lublin, Poland
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Anna Gawęda   

Maxillofacial Surgery Department, Medical University, Staszica 11, 20-081 Lublin, Poland.
J Pre Clin Clin Res. 2011;5(1):35-37
Idiopathic trigeminal neuralgia (TN) still lacks an eff ective treatment procedure. At fi rst, we applied non-invasive treatment, pharmacological and anticonvulsant medicines, and in the absence of an eff ect or the appearance of secondary manifestations, we chose surgical intervention. This study presents the therapeutic process in a patient who had been complaining for about 24 years of pain of a neuralgic character, described in the II (V2) and III (V3) branch of the trigeminal nerve (V) on the left side. Until 2007, the patient was treated pharmacologically, prosthetically, his vascular-nervous confl ict was surgically decompressed through the treatment of the Gasserian ganglion using thermolesion. In 2008, the patient was directed to the Maxillofacial Surgery Department of the Medical University in Lublin where he was diagnosed with neuralgia of the V2 and V3 of the left side. A cryoblockade was performed with the result of a V3 remission of pain which lasted 20 months.
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