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삼차신경통 진단 및 치료의 중요 고려사항

Other Titles
 Efficacy of Self-manipulation Technique in the Treatment of Patients with Anterior Disc Displacement without Reduction 
 전영미  ;  태일호  ;  권정승  ;  심우현  ;  안형준  ;  최종훈 
 Journal of Korean Academy of Oral Medicine (대한구강내과학회지), Vol.32(4) : 449-453, 2007 
Journal Title
 Journal of Korean Academy of Oral Medicine (대한구강내과학회지) 
Issue Date
Trigeminal neuralgia is defined as “a sudden, usually unilateral, brief stabbing recurrent pain in the distribution of one or more branches of the fifth cranial nerve” by the International Association for the Study of Pain(IASP). Trigeminal neuralgia is classified as an idiopathic trigeminal neuralgia with no apparent cause and a symptomatic trigeminal neuralgia which is caused by a structural lesion such as brain tumor. Over 80% of the tumors are meningioma, acoustic neuroma, and epidermoid tumors. Symptomatic trigeminal neuralgia can not be excluded even if old-aged patient does not have abnormal neurologic sign and symptom, and good response to pharmacotherapy. Therefore, initial examinations such as MRI or CT are essential to exclude symptomatic trigeminal neuralgia. When compared with CT, MRI, especially gadolinium enhanced MRI, has an increased sensitivity in the detection of intracranial lesions. The most effective medical treatment of trigeminal neuralgia is carbamazepine. The most common side effects of carbamazepine include drowsiness, dizziness, unsteadiness, nausea, anorexia. Hepatotoxicity, bone marrow depression are the most feared side effect of carbamazepine therapy but occurs rarely. It require periodic complete blood cell counts as well as hepatic and renal function tests. It has been recommended that complete blood cell counts is done every 2 weeks for the first 2months and then quaterly thereafter. Oxcarbazepine can be used if neutropenia occurs.
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Appears in Collections:
2. College of Dentistry (치과대학) > Dept. of Orofacial Pain and Oral Medicine (구강내과학교실) > 1. Journal Papers
Yonsei Authors
Kwon, Jeong Seung(권정승) ORCID logo https://orcid.org/0000-0003-4584-7355
Shim, Woo Hyun(심우현)
Ahn, Hyoung Joon(안형준)
Jeon, Young Mi(전영미)
Choi, Jong Hoon(최종훈) ORCID logo https://orcid.org/0000-0003-3211-3619
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