Patel, K, Godazandeh, K, Wu, J orcid.org/0000-0001-6093-599X et al. (1 more author) (2021) The journeys of patients with trigeminal neuralgia on a background of multiple sclerosis. Pain Management, 11 (5). pp. 561-569. ISSN 1758-1869
Abstract
Aim: Multiple sclerosis (MS) is well recognized as a secondary cause for trigeminal neuralgia (TN). In this case series, we detail the management of all the patients with TN and MS (pwTNMS) presenting to a specialist unit. Materials & methods: A prospective patient database was used to extract key clinical data on pharmacological, psychometric and surgical management of 20 pwTNMS. Results: 65% of pwTNMS underwent surgical interventions for management of their pain.12/20 achieved remission periods, through surgery and/or medication. Significant improvement was noted on the global impression of change illustrated by a p < 0.001. Conclusion: pwTNMS require a multifaceted approach combining polypharmacy, surgical interventions and psychological support. Developing self-management skills is crucial if patients are to live well with pain.
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Copyright, Publisher and Additional Information: | This item is protected by copyright. This is an open access article under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0) (https://creativecommons.org/licenses/by/4.0/) | ||||
Keywords: | ablative procedures; multiple sclerosis; pain management; refractory pain; trigeminal neuralgia | ||||
Dates: |
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Institution: | The University of Leeds | ||||
Academic Units: | The University of Leeds > Faculty of Medicine and Health (Leeds) > School of Dentistry (Leeds) > Applied Health and Clinical Translation (Leeds) | ||||
Funding Information: |
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Depositing User: | Symplectic Publications | ||||
Date Deposited: | 26 Nov 2021 15:04 | ||||
Last Modified: | 26 Nov 2021 15:04 | ||||
Status: | Published | ||||
Publisher: | Future Science Group | ||||
Identification Number: | https://doi.org/10.2217/pmt-2021-0001 |
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