• Journal of Oral Medicine and Pain
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• 제32권4호
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• pp.449-453
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• 2007

삼차신경통은 삼차신경의 하나 이상 분지에서 나타나는 안면 편측 통증 질환으로 짧은 찌르는 듯한 통증이다. 삼차 신경통의 가장 흔한 원인은 인접 삼차신경이나 삼차신경근 부위를 압박하는 혈관에 의하거나 특발성으로 나타나는 특발성 삼차신경통과 구조적 병소에 의해 나타나는 증후성 삼차신경통으로 분류된다. 증후성 삼차신경통은 수막종, 청신경종, 표피양암종 등이 주된 원인이며, 감각 결함, 운동 결함, 운동실조, 안구진탕 등과 같은 신경계 증상이 동반된다. 삼차 신경통의 치료는 크게 약물 치료와 외과적 치료가 있다. 이 중 가장 효과적으로 사용되는 약물은 Carbamazepine이며, 졸음, 현기증, 불안, 오심, 식욕부진 등의 다양한 부작용을 나타낼 수 있다. 특히 간독성, 골수 기능 억제 등의 위험한 부작용이 나타날 수 있으므로 주기적으로 혈액검사, 간 및 신장 기능 검사가 필요하다. 이에 삼차신경통의 임상 증례를 통해 증후성 삼차신경통과 특발성 삼차신경통의 예를 들어 진단과 치료를 시행함에 있어 여러 고려 사항들 중 특히 우리가 소홀히 하거나 간과하기 쉬운 중요 고려사항을 되짚어 보고자 한다.

• 대한한방부인과학회지
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• 제29권2호
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• pp.121-130
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• 2016

Objectives: The purpose of this study is to report the effect of Korean medical treatment on a patient with trigeminal neuralgia during pregnancy. Methods: We treated a facial pain patient diagnosed as trigeminal neuralgia during pregnancy with acupuncture, cupping and herbal medicines. Herbal medicines were prescribed according to the patient's Sasang constitution which was Soeumin. The severity of symptom was evaluated by Numeric Rating System (NRS). Results: After treatment, the patient's facial pain caused by trigeminal neuralgia was improved. NRS score was decreased from 6 to 0. Conclusions: This case report shows that traditional Korean medical treatment and Sasang constitution medicine is effective for the patient with trigeminal neuralgia during pregnancy.

• 동의신경정신과학회지
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• 제16권1호
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• pp.221-226
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• 2005

The trigeminal neuralgia whose pain is led repeatedly and fitfully is limited inside the trigeminal nervous territory. The cause reveals so far clearly from the western medicine. According to this cause, the treatment is divided into surgical and non-surgical method. But the reduction of pain is not certificate and the case which concurs a sequela is many. So we made up to control typical primary trigeminal neuralgia by oriental medicine treatment like Herb Medication and A-Tx. In this case, patient is diagnosed 'Fire from stagnation of liver and stomach'(肝胃實熱)based on several symptoms. According to this, we used herbal medicine-chungpyesagantang-, and these efforts helped the case of disease.

• Radiation Oncology Journal
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• 제24권2호
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• pp.144-148
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• 2006

삼차신경통은 삼차신경의 안면피부 분포를 따라서 일시에 생기는 전기적 쇼크와도 같은 강한 통증이다. 약물치료로서 통증을 제어할 수 없게 되면 여러 가지 시술로 통증제어를 시도하게 된다. 정위적 방사선수술은 비침습적인 방법으로 부작용이 거의 없이 유의한 통증완화를 이루어 내는 것으로 밝혀져 있다. 그동안 삼차신경통의 방사선수술에 감마나이프가 주로 사용되었지만 최근에 선형가속기도 사용되기 시작하였다. 저자는 삼차신경통 환자 1명에 선형가속기를 이용하여 방사선수술을 시행하였다. 뇌간으로부터 나온 삼차신경 기시부에 5 mm collimator를 이용하여 85 Gy를 조사하였다. 환자는 치료 후 20일 경부터 통증이 거의 소실되었으며 6개월이 지난 현재까지 약물복용 없이도 통증이 없는 상태이다. 환자는 안면 무감각증 등 부작용이 없었다. 선형가속기를 이용한 정위적 방사선수술로 삼차신경통을 치유한 예는 아직 국내에서 보고된 적이 없기에 문헌고찰과 함께 보고한다.

• The Korean Journal of Pain
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• 제7권2호
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• pp.303-306
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• 1994

Trigeminal neuralgia is a unique disease entity to be dealt with at pain clinic due to it's severe pain attack. A 33-year old male patient had severe pain on left cheek area usually initiating from first upper molar tooth area for three years. We successfully treated this patient with maxillary nerve block using pure alcohol by a lateral approach. Three months after maxillary block the patient is still pain free.

• The Korean Journal of Pain
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• 제26권2호
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• pp.177-180
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• 2013

Trigeminal neuralgia (TN) is characterized by recurrent paroxysms of unilateral facial pain that typically is severe, lancinating, and activated with cutaneous stimulation. There are two types of TN, classical TN and atypical TN. The pain nature of classical TN are the same as those described above, whereas atypical TN is characterized by constant, burning pain. We describe the case of a 49-year-old male presenting with right-sided facial pain. The patient was diagnosed with temporomandibular joint disorder at a dental clinic and was on medical treatment, but his symptoms worsened gradually. He was referred to our pain clinic for further evaluation. Radiologic evaluation, including MRI, showed a parapharyngeal tumor. For the relief of TN, a right mandibular nerve (V3) root block was performed at our pain clinic, and then he was scheduled for radiation and chemotherapy.

• Journal of Oral Medicine and Pain
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• 제24권3호
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• pp.315-323
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• 1999

The 63 patients(20 males, 43 females) were treated for their trigeminal neuralgia at the Department. of Oral Medicine, Pusan National University Hospital from 1993 to 1998. All the patients were treated for their trigeminal neuralgia by conservative methods such as medication, and Electric Acupuncture Stimulation Therapy The obtained results were as follows: 1. Trigeminal neuralgia was mainly involved in the patients of past forties, women and acute group. 2. 50.8% of patients were related to maxillary branches of trigeminal nerves. The trigger points were on gingivae, cheeks, teeth, lips in order. 3. 55.6% of patients with trigeminal neuralgia had systemic diseases and 39.7% were related to dental practices. 4. Success rate of the treatments was 71.4% and the recurrence rate was 26.3%. 5. The refractory factors in improving symptoms were chronic history, involvement of complex branches, and experience of prosthodontic treatments.

• The Korean Journal of Pain
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• 제27권3호
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• pp.260-265
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• 2014

Background: To evaluate the results of conventional radiofrequency thermorhizotomy (CRT) for trigeminal neuralgia (TN) in patients with failed medical management. Methods: Patients with Trigeminal neuralgia who were referred to us for 'limited intervention' during the time frame July-2011 to Jan-2013 were enrolled for this study. CRT was administered by the Sweet technique. Pain relief was evaluated by the principle investigator. Results: Eighteen patients were enrolled and completed a mean follow-up of 18.0 months. Pain relief was observed in 14 of 18 (77.8%) patients on the post-operative day, 14 of 18 (77.8%) at 1-month follow-up, 14 of 17 (82.4%) at 3-months follow-up, 12 of 15 (80%) at 6-months follow-up, 7 of 11 (63.6%) at 1-year follow-up and 2 of 6 (33.3%) 1.5 years of follow-up. Four patients required a repeat cycle of CRT; two at six months of follow-up and two at one year of follow-up. One patient was transferred for surgical intervention at six months of follow-up. Side-effects included facial hypoesthesia (n = 6); nausea/vomiting (n = 2), diminished corneal reflex (n = 13) and difficulty in chewing (n = 11). Severity of adverse effects gradually diminished and none of the patients who are beyond 6 months of follow-up have any functional limitation. Conclusions: CRT is an effective method of pain relief for patients with Trigeminal neuralgia. Successful outcome (excellent or good) can be expected in 66.7% of patients after first cycle of CRF. The incidence and severity of adverse effects is less and the procedure is better tolerated by the patients.

• The Korean Journal of Pain
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• 제9권2호
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• pp.423-425
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• 1996

Tic convulsif is a syndrome restricted to paroxysmal dysfunction of the fifth and seventh cranial nerves. It occurs predominantly in women over the age of 50 years and is usually associated with an ectatic vertebrobasilar artery - less frequently an arteriovenous malformation or cholesteatoma - which compresses the trigeminal and facial nerve roots in the postetior fossa. In rare instances this syndrome may be caused by brain tumor. Because of the high incidence of posterior fossa lesions in painful tic convulsif, a complete neurological evaluation including computerised transaxial tomography should be performed in every case. We experienced a case of trigeminal neuralgia(mandibular division)and contralateral hemifacial spasm.

• 대한한방내과학회지
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• 제21권3호
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• pp.505-510
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• 2000

In the treatment of trigeminal neuralgia, it is known that the operative mothods, such as neurovascular decompression, rhizotomy etc. are the most effectious therapies on its pain control. But, due to some side effects and complication, the healing by the first intention of trigeminal neuralgia has been the pharmacotherapy. The cabamazepine is the most common agent, but it is not often effectious in some cases, and attenuated as time goes, engaged in some symptoms, such as dizziness, nausea, vomit, etc., and caused in aplastic anemia, thus it has much deficacies in being the first intention. Recently we have experienced a 77-year old woman who had suffered from the severe trigeminal neuralgia for 21 years, and her condition and pain control were improved through the Korean medical treatments, so we report it for the better treatment.