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- W2891809489 abstract "In addition to the repeated episodes of paroxysmal, electrical facial pain classically associated with the disease, many patients with trigeminal neuralgia (TN) suffer from severe emotional distress. At present, there is no universally agreed pathophysiological explanation for the high incidence of depression and anxiety within this patient population. Despite the unclear understanding, the psychiatric comorbidities should be addressed as a part of comprehensive, multi-modal approach. Anticonvulsants or serotonin and norepineprhine reuptake inhibitors are viable pharmacological options that can supplement the currently used carbamazepine therapy. For medically refractory cases, surgical interventions are being suggested as effective alternatives in managing both the pain and the psychiatric complaints of TN. Examples include microvascular decompression, stereotactic radiosurgery, and repetitive transcranial magnetic stimulation. Continued research to understand TN should take into account the psychiatric burden in this population in order to promote a holistic treatment approach." @default.
- W2891809489 created "2018-09-27" @default.
- W2891809489 creator A5071868449 @default.
- W2891809489 creator A5072935126 @default.
- W2891809489 date "2018-01-01" @default.
- W2891809489 modified "2023-09-26" @default.
- W2891809489 title "Pain Psychiatry of Trigeminal Neuralgia" @default.
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- W2891809489 doi "https://doi.org/10.4018/978-1-5225-5349-6.ch012" @default.
- W2891809489 hasPublicationYear "2018" @default.
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