pain in the trigeminal nerve distribution. Typically, brief attacks are triggered by talking,
chewing, teeth brushing, shaving, a light touch, or even a cool breeze. The pain is nearly always
unilateral, and it may occur repeatedly throughout the day. The diagnosis is typically determined
clinically, although imaging studies or referral for specialized testing may be necessary
to rule out other diseases. Accurate and prompt diagnosis is important because the pain of trigeminal
neuralgia can be severe. Carbamazepine is the drug of choice for the initial treatment
of trigeminal neuralgia; however, baclofen, gabapentin, and other drugs may provide relief
in refractory cases. Neurosurgical treatments may help patients in whom medical therapy is
