Diagnosis and Treatment of Cranial N euralgias

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      Often described as “sharp,” “stabbing,” or “shock-like,” GPN is typically triggered by manual stimulation, such as swallowing, chewing, talking, coughing, or yawning. Just as with trigeminal neuralgia, first-line therapy for GPN is pharmacologic, predominantly using neuromodulating agents, including carbamazepine, gabapentin, and pregabalin.5-7 For severe or medication-refractory GPN, interventional treatment can be considered, including direct nerve section (NS), microvascular decompression (MVD), or stereotactic radiosurgery (SRS).

    • Headaches in Children and Adolescents

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      TGN occurs in about 1 in 25,000 in the general population and is uncommon before the third decade, with only 1% of the cases occurring before 20 years of age. The medical management of choice is carbamazepine but surgical decompression may be necessary in selected instances.139 A high proportion of TGN in childhood is associated with defined organic pathology.140-144

    • Headaches in the elderly

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