Table 5.
Case reports for trigeminal pain
| Gender /case number | Age | Primary diagnosis (pain indication/cause of pain/type of pain) | Localization of pain symptoms/predominantly intra-or extraoral | Duration of pain in years | Hyper-algesia | Allodynia/allodynia severity rating | Pain intensity (0–10) | Characteristics of pain | Mono-therapy | Plasters per day | Duration of plaster treatment (months) | CGIC score |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Trigeminal neuralgia | ||||||||||||
| M T4 |
76 | Trigeminal neuralgia Intermittent pain | Left V1 Extraoral |
0.19 | X | 2 | 9 | Stabbing | N | 1/8 | 1.17 | 1 |
| Ma T26 |
82 | Trigeminal neuralgia type 2 Continuous pain | Right V1,2,3 Extraoral |
20 | X | 3 | 8–10 | Burning | N | 1/2 | 0.93 | 1 |
| M T27 |
53 | Trigeminal neuralgia Intermittent pain | Right V Extraoral |
3 | X | 2 | 5 | Stabbing | Y | 1/2 | 0.93 | 1 |
| F T2 |
62 | Trigeminal neuralgia type 2 Continuous pain with intermittent flares | Left Extraoral |
3 | 7 | Burning, shooting | N | 1/2 | NA | 2 | ||
| F T6 |
29 | Trigeminal neuralgia Intermittent pain | V2 Extraoral |
0.5 | X | 1 | 7 | Shooting | N | 1/2 | 0.75 | 2 |
| Ma T24 |
35 | Trigeminal neuralgia Intermittent pain | Left V2 Extraoral |
3 | 2 | 8 | Shooting | N | 1/4 | 3 | 2 | |
| F T18 |
62 | Trigeminal neuralgia type 2 Continuous pain with intermittent flares | Right V2,3 Extraoral, mainly intraoral |
14 | 2 | 8 | Stabbing, shooting, aching | N | 1/2 | 0.25 | 4 | |
| M T1 |
75 | Trigeminal neuralgia Intermittent pain | Left V2,3 Extraoral |
5 | 8 | Stabbing, shooting | N | 1/2 | 2 | 4 | ||
| M T3 |
80 | Trigeminal neuralgia Intermittent pain | Left V2,3 | ≥5 | 1 | 9 | Stabbing, shooting | Y | 1/2, not daily | <0.03 | 5 | |
| F T23 |
82 | Neuralgia SUNCT Continuous pain with intermittent flares | Left V1,2,3 Extraoral |
5 | 1 | 7 | Burning, sharp, aching, dull | N | 1 | 1 | 4 | |
| Trigeminal neuropathic pain following surgery for trigeminal neuralgia | ||||||||||||
| F T17 |
53 | Neuropathic pain Continuous pain | Right V2,3 Intra- and extraoral |
12 | 2 | 10 | Shooting, sharp | Y | 1/2 | 9 | 1 | |
| F T21 |
49 | Neuropathic pain Continuous pain | Right V2,3 Extraoral |
2 | 2 | 8 | Burning | N | 1 weekly | 1 | 3 | |
| F T11 |
64 | Bilateral neuropathic pain Intermittent pain | Right V2,3 Extraoral |
3 | 1 | 8 | Shooting, hot, pricking | N | 1/2 | 0.17 | 3, sleep improved | |
| Fa T7 |
35 | Neuropathic pain Continuous pain with intermittent flares | V2,3 Extraoral | 2 | 2 | 8 | Burning, shooting | N | 1/2 | 0.7 | 3 | |
| F T12 |
72 | Dysesthesia Continuous pain with intermittent flares | Left V3 Extraoral |
7 | 2 | 8 | Heavy, gripping | N | 1/2 | 0.25 | 4 | |
| M T16 |
75 | Dysesthesia Continuous pain | Left V2,3 Extraoral |
25 | 1 | 8 | Burning, soreness, nagging, numbness | Y | 1 | 3 | 4 | |
| Trigeminal neuropathic pain following trauma | ||||||||||||
| F T13 |
50 | Trigeminal posttraumatic neuropathic pain Continuous pain | Left V2 Extraoral |
1.5 | 2 | 9 | Burning, tingling, pricking | N | 1/2 | 4 | 2 | |
| F T22 |
65 | Trigeminal neuropathic pain Continuous pain with intermittent flares | Left V1,2,3 Extraoral |
3 | 1 | 8 | Burning, shooting, throbbing, drilling, heavy, piercing | N | 1 every 2nd day |
7 | 2 sleeps better | |
| F T15 |
63 | Neuropathic pain after extractions Continuous pain with intermittent flares | Right V3 Intraoral Extraoral |
3 | 7 | Shooting, cutting, aching, throbbing | N | 1/2 | 3 | 2 | ||
| M T20 |
44 | Trigeminal neuropathic pain after dental extractions Continuous pain with intermittent flares | Right V1,2,3 Extraoral |
4 | 1 | Burning, sharp, dull | N | 1 every 2nd day |
0.5 | 4 | ||
| Trigeminal neuropathic pain following postherpetic neuralgia | ||||||||||||
| F T10 |
45 | Postherpetic neuralgia Continuous pain with intermittent flares | Right V1 Extraoral |
2.5 | 1 | 10 | Stabbing, searing, burning, shooting, dull | N | 1/2 | 3 | 2 | |
| M T8 |
78 | Postherpetic neuralgia Continuous pain with intermittent flares | Right V1 Extraoral |
0.25 | 2 | 7 | Burning | N | 1/4 | 3 | 2 | |
| F T14 |
74 | Postherpetic neuralgia Continuous pain | Left V1 Extraoral |
1.67 | 4 | Burning, itchy, hot, numb, tingling | Y | Intermittent | 4 | 2 | ||
| F T19 |
76 | Postherpetic neuralgia pain and burning mouth syndrome Continuous pain with intermittent flares | Right V2 Intra- and extraoral |
2 | 1 | 9 | Burning, drilling | N | 1/2 | Few weeks | 3 | |
Notes: Pain was initiated by triggers if not otherwise stated.
a
no triggers. Allodynia severity rating: 0 = no pain or discomfort to touch, 1 = uncomfortable, but tolerable to touch, 2 = painful, 3 = extremely painful, patient cannot stand touching; duration of pain was converted to years, term “many years” was set to ≥5 years in the table and to 5 years for calculation of means.
Abbreviations: CGIC, Clinical Global Impression of Change rating during treatment with 5% lidocaine-medicated plaster: 1 = very much improved, 2 = much improved, 3 = minimally improved, 4 = no change, 5 = minimally worse; F, female; M, male; NA, not available; N, no; SUNCT, short unilateral neuralgiform pain with conjunctival tearing; V1, ophthalmic; V2, maxillary; V3, mandibular; X, symptom present; Y, yes.