Modern aspects of the treatment of trigeminal neuralgia: a review of the literature
https://doi.org/10.56618/2071-2693_2025_17_3_156
EDN: BUSZOM
Abstract
Trigeminal neuralgia is a polyetiological type of facial pain, the causes of which may be vascular-radicular conflict, aneurysms and arteriovenous malformations, brain tumors, multiple sclerosis, craniocerebral trauma, herpes infection, traumatic dental interventions. Despite the fact that trigeminal pain is a relatively rare special case of prosopalgia, a marked decrease in the performance and quality of life of patients provides grounds for developing optimal solutions to this problem in the shortest possible time.
Aim – to identify the main problems that arise at various stages of managing patients with trigeminal neuralgia. Publications of domestic and foreign authors on this issue were studied on the PubMed and eLibrary resources.
The issues of patient routing, drug treatment with carbamazepine drugs, and various methods of physiotherapy are considered. Particular attention is paid to the effectiveness of surgical treatment, its priority use in some types of trigeminal neuralgia. Difficulties in managing patients with trigeminal neuralgia can arise at various stages due to the polyetiology of the disease. At the present stage, trigeminal neuralgia is a problem that requires an interdisciplinary approach, a high level of clinical training of doctors, and a priority choice of treatment tactics depending on the cause of the disease.
About the Authors
V. I. Larkin
Omsk State Medical University
Russian Federation
Russian Federation
Valery I. Larkin – Dr. of Sci. (Med.), Full Professor, Head at the Department of Neurology and Neurosurgery with a Course of Additional Vocational Training
12 Lenina street, Omsk, 644099
I. I. Larkin
Omsk State Medical University
Russian Federation
Russian Federation
Igor I. Larkin – Dr. of Sci. (Med.), Associate Professor, Professor at the Department of Neurology and Neurosurgery with a Course of Additional Vocational Training
12 Lenina street, Omsk, 644099
T. A. Morozova
Omsk State Medical University
Russian Federation
Russian Federation
Tatyana A. Morozova – Cand. of Sci. (Med.), Associate Professor at the Department of Neurology and Neurosurgery with a Course of Additional Vocational Training
12 Lenina street, Omsk, 644099
M. A. Korotchenko
Omsk State Medical University
Russian Federation
Russian Federation
Matvey A. Korotchenko – 5th year Student at the Faculty of Dentistry
12 Lenina street, Omsk, 644099
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Review
For citations:
Larkin V.I., Larkin I.I., Morozova T.A., Korotchenko M.A. Modern aspects of the treatment of trigeminal neuralgia: a review of the literature. Russian Neurosurgical Journal named after Professor A. L. Polenov. 2025;17(3):156-162. (In Russ.) https://doi.org/10.56618/2071-2693_2025_17_3_156. EDN: BUSZOM
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