三叉神經痛的手術與藥物洽療

Surgical and Pharmacological Management for Trigeminal Neuralgia

三又神經痛是面部神經痛症中最常見的一種。此神經性疼痛通常侵犯單側面部產生銳痛並持續數秒至數分鐘。作用機轉並未完全清楚但大部份可發現三叉神經根被鄰近異常之血管或病理構造成壓迫。治療三叉神經痛包括藥物和手術治療，並幫助改善症狀症侯更重要的是生活品質。本文概略陳述現今對於此嚴重之疼痛疾病不同的藥物和侵入性手術等處理方法。

Trigeminal neuralgia (TN) is considered as one of the most common facial pain syndromes. This neuropathic pain is unilateral sharp pain persisting from few seconds and minutes. The pathogenesis has still not been well defined but most evidence is the compression of the trigeminal nerve root by an aberrant vessels or pathogens. Treatment of trigeminal neuralgia includes pharmacological and surgical approaches to help to improve the symptoms, signs and especially life quality. The aim of this review is to give an overview of the current literature on different managements of this severe pain conditions.