PMID- 22292140
OWN - NLM
STAT- MEDLINE
DCOM- 20120510
LR  - 20120131
IS  - 1064-6655 (Print)
IS  - 1064-6655 (Linking)
VI  - 26
IP  - 1
DP  - 2012 Winter
TI  - Peripheral painful traumatic trigeminal neuropathy: clinical features in 91 cases 
      and proposal of novel diagnostic criteria.
PG  - 49-58
AB  - AIMS: To field-test carefully designed criteria for pain following trigeminal 
      nerve trauma. METHODS: In order to characterize the clinical phenotype, 
      posttraumatic pain patients were studied and compared with classical trigeminal 
      neuralgia patients (CTN, defined according to the International Headache 
      Society's criteria). Based on etiology and features, trigeminal pain following 
      trauma was defined as "peripheral painful traumatic trigeminal neuropathy" 
      (PPTTN). Data were analyzed with t tests, ANOVA, chi-square, and regression 
      analyses. RESULTS: A total of 145 patients were included: 91 with PPTTN and 54 
      with CTN. Findings indicated that PPTTN criteria are clinically applicable in the 
      detection and characterization of relevant cases. In contrast to accepted 
      characteristics for PPTTN, the observed profile included both continuous and 
      paroxysmal pain that was stabbing and/or burning. The quality, duration, and 
      intensity were significantly different from the CTN patients (P < .05). PPTTN was 
      consistently accompanied by trigeminal sensory abnormalities (96%) that were 
      mostly allodynia, hyperor hypoalgesia, and only 1% of the PPTTN cases had 
      anesthesia. CONCLUSION: Overall, the proposed PPTTN criteria have proven to be 
      clinically useful. In view of these results, modified PPTTN diagnostic criteria 
      are proposed for use in future research.
FAU - Benoliel, Rafael
AU  - Benoliel R
AD  - Department of Oral Medicine, Hebrew University, Hadassah, Jerusalem, Israel. 
      benoliel@cc.huji.ac.il
FAU - Zadik, Yehuda
AU  - Zadik Y
FAU - Eliav, Eli
AU  - Eliav E
FAU - Sharav, Yair
AU  - Sharav Y
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - J Orofac Pain
JT  - Journal of orofacial pain
JID - 9418507
MH  - Cohort Studies
MH  - Cone-Beam Computed Tomography
MH  - Dental Pulp Test
MH  - Diagnosis, Differential
MH  - Dizziness/diagnosis
MH  - Electric Stimulation
MH  - Facial Pain/diagnosis
MH  - Female
MH  - Headache/diagnosis
MH  - Humans
MH  - Hyperalgesia/diagnosis
MH  - Hyperesthesia/diagnosis
MH  - Hypesthesia/diagnosis
MH  - Male
MH  - Mandibular Nerve/physiopathology
MH  - Maxillary Nerve/injuries
MH  - Middle Aged
MH  - Nerve Fibers, Myelinated/physiology
MH  - Nerve Fibers, Unmyelinated/physiology
MH  - Ophthalmic Nerve/injuries
MH  - Oral Surgical Procedures/adverse effects
MH  - Pain Measurement
MH  - Pain Threshold/physiology
MH  - Prospective Studies
MH  - Touch/physiology
MH  - Trigeminal Nerve Injuries/classification/*diagnosis
MH  - Trigeminal Neuralgia/*diagnosis
EDAT- 2012/02/01 06:00
MHDA- 2012/05/11 06:00
CRDT- 2012/02/01 06:00
PHST- 2012/02/01 06:00 [entrez]
PHST- 2012/02/01 06:00 [pubmed]
PHST- 2012/05/11 06:00 [medline]
PST - ppublish
SO  - J Orofac Pain. 2012 Winter;26(1):49-58.