Question 188 · LDEK · Cranial nerves and facial pain

Indicate the correct scheme of trigeminal nerve neuralgia treatment:

  1. A. analgesics->neurotomy->trigeminal nerve decompression.
  2. B. anti-seizure drugs->neurotomy->trigeminal nerve decompression.
  3. C. anti-seizure drugs-> 1 - 2% lidocaine nerve block -> exeresis.
  4. D. anti-seizure drugs-> 1 - 2% lidocaine nerve block -> trigeminal nerve decompression.
  5. E. analgesics->alcohol nerve block->exeresis.
Hint

Start with the drug class effective for paroxysmal neuropathic pain, then a temporary peripheral measure, then the causal surgical option.

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