[Pathogenetic therapy of trigeminal neuralgia].

The authors describe a clinical case of severe neuralgia of the third branch of the trigeminal nerve, in whose etiology and pathogenesis a role was played by allergic vasomotor rhinosinusopathy, general allergization of the body, and recurrent herpetic infection. The patient was treated by carbamazepine, tranquilizers, prednisolone, antihistamine and diuretic agents, calcium drugs, bonaphthon, vitamin B1, essentiale, acupuncture, local hydrocortisone phonophoresis and laser therapy. Such treatment made it possible to effectively remove the neuralgic painful syndrome. The given case demonstrates that the painful syndrome is due to several pathological systems having different pathophysiological and neurochemical organization, demanding a differentiated individual approach and providing evidence for the necessity of carrying out the etiological and pathogenetic therapy.