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Background <p>Trigeminal neuralgia is a common condition presenting as sharp shooting pain affecting the various divisions of the trigeminal nerve.</p> Method and result <p>The reported case presented in 2008 as sharp pain in the right-side maxillary (V2) and mandibular (V3) divisions of the trigeminal nerve. The patient was initially managed with drug therapy using carbamazepine and amitriptyline was added to the prescription in due course of time and was subsequently taken up for infraorbital and inferior alveolar nerve neurectomy in 2010. The patient reported resurgence of symptoms in 2018 and was managed with drug therapy using carbamazepine, amitriptyline and lamotrigine and was subsequently taken up for a long buccal and lingual nerve neurectomy in 2024.</p> Conclusion <p>Our study highlights a rare presentation of the long buccal and lingual nerve involvement as a spreading recurrence in trigeminal neuralgia and its management.</p>

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Long-Term Pharmaco-Surgical Management and Review of Recurrent Atypical Spreading Long Buccal and Lingual Nerve Trigeminal Neuralgia

  • 期刊论文

  • 发表日期：

    2025年5月26日

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  • Ashish Chakranarayan,
  • Pushpa Kumari

摘要

Background

Trigeminal neuralgia is a common condition presenting as sharp shooting pain affecting the various divisions of the trigeminal nerve.

Method and result

The reported case presented in 2008 as sharp pain in the right-side maxillary (V2) and mandibular (V3) divisions of the trigeminal nerve. The patient was initially managed with drug therapy using carbamazepine and amitriptyline was added to the prescription in due course of time and was subsequently taken up for infraorbital and inferior alveolar nerve neurectomy in 2010. The patient reported resurgence of symptoms in 2018 and was managed with drug therapy using carbamazepine, amitriptyline and lamotrigine and was subsequently taken up for a long buccal and lingual nerve neurectomy in 2024.

Conclusion

Our study highlights a rare presentation of the long buccal and lingual nerve involvement as a spreading recurrence in trigeminal neuralgia and its management.