A multicenter survey on access to care in Multiple Sclerosis-related trigeminal neuralgia

6533b7cffe1ef96bd12599e3

RESEARCH PRODUCT

A multicenter survey on access to care in Multiple Sclerosis-related trigeminal neuralgia

Ilaria Pesci Pietro Annovazzi Claudio Solaro Alberto Gajofatto Cinzia Cordioli G. T. Maniscalco Eleonora Cocco Roberta Fantozzi Antonio Gallo Marta Radaelli Maria Chiara Buscarinu Federica Pinardi M. Di Filippo Damiano Paolicelli Valentina Tomassini Diana Ferraro Massimiliano Calabrese G. De Luca R Lanzillo Paolo Ragonese Paola Cavalla S. Lo Fermo C. Gasperini Marcello Moccia C. Tortorella Viviana Nociti Valentina Camera

subject

medicine.medical_specialty Multiple Sclerosis multiple sclerosis; trigeminal neuralgia Cross-sectional study medicine.medical_treatment Population Microvascular decompression Health Services Accessibility 03 medical and health sciences 0302 clinical medicine Retrospective Studie Trigeminal neuralgia Multiple Sclerosi medicine Humans 030212 general & internal medicine Intensive care medicine education Oxcarbazepine Retrospective Studies Cross-Sectional Studie education.field_of_study business.industry Multiple sclerosis Retrospective cohort study Trigeminal Neuralgia medicine.disease Cross-Sectional Studies Treatment Outcome Italy Neurology Multicenter survey Neurology (clinical)business Multiple Sclerosis; Trigeminal neuralgia; Cross-Sectional Studies; Health Services Accessibility; Humans; Italy; Retrospective Studies; Treatment Outcome; Multiple Sclerosis; Trigeminal Neuralgia Trigeminal neuralgia 030217 neurology & neurosurgery Human medicine.drug

description

The prevalence of trigeminal neuralgia (TN) in patients with Multiple Sclerosis (MS) is higher than in the general population and its management can be particularly challenging due to a number of reasons including high recurrence rates, lack of MS-specific treatment guidelines and uncertainties about pain pathophysiology. Aim of this cross-sectional, multicentre survey was to gather information on the current treatment modalities and options of MS-related TN across 23 Italian MS centres. Initial medical management (carbamazepine or oxcarbazepine) of MS-related TN was fairly homogeneous throughout Italian centres. The most commonly available surgical procedure was microvascular decompression, but the frequency and types of surgical procedures available locally differed considerably throughout MS centers, and were unavailable in one quarter of them. This survey reveals some of the issues that could hamper an optimal patient management and underlines the need for a consensus on MS-related TN to support health-care professionals in their approach to this challenging condition and to facilitate the development of local guidelines aimed at ensuring equity in access to care and treatment optimization.

year	journal	country	edition	language
2021-01-01	Journal of the Neurological Sciences

https://doi.org/10.1016/j.jns.2021.117430