TRIGEMINAL NEURALGIA

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Abstract
Data regarding the effects of therapy in trigeminal neuralgia cannot be evaluated without knowledge of the spontaneous course of the disease. Analysis of 155 cases showed that 78 patients had experienced one or more spontaneous remissions lasting 6 months or longer and that 38 had had similar remissions of 12 or more months. This finding may have explained some reports of good therapeutic results from a variety of treatments, such as remissions lasting up to four years in 17 out of 39 patients after the extraction of apparently sound teeth. In patients who allowed many months to elapse before they sought treatment and who enjoyed long spontaneous remissions it could be assumed that the course of the disease would be somewhat benign. To tell whether a proposed treatment for frigeminal neuralgia is effective therefore requires a post-treatment observation period of at least six months and preferably a year.

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