CLINICAL CARE IN THE MANAGEMENT OF NEUROPATHIC PAIN IN A PATIENT WITH TRIGEMINAL NEURALGIA: EXPERIENCE REPORT
Keywords:
Trigeminal Neuralgia, Neuropathic Pain, Therapeutic Refractoriness, Multiprofessional Management, Clinical ManagementAbstract
Trigeminal neuralgia is recognized as one of the most intense and disabling pain conditions described in the literature, especially when associated with clinical comorbidities that complicate management and amplify the patient’s functional and emotional burden. Given this complexity, the present report aimed to describe the clinical evolution, therapeutic challenges, and multiprofessional strategies adopted in the care of a patient with trigeminal neuralgia exacerbated by a systemic infectious condition. This is an experience report based on direct clinical observation, chart review, and documentation of the interventions performed by the healthcare team during hospitalization. The results showed intense paroxysmal pain, presence of trigger zones, significant worsening of crises during systemic infection, partial refractoriness to pregabalin, and the need for opioids during episodes of extreme pain, in addition to marked functional impairment and emotional distress characterized by anxiety, fear, and hopelessness. The discussion highlights that similar cases require integrated management, as infection increases neural excitability and limits the adjustment of anticonvulsants, reinforcing the need for combined strategies and continuous psychosocial support. It is concluded that care for trigeminal neuralgia must be multidimensional, involving pharmacological, emotional, and functional interventions, and further studies are recommended to evaluate advanced therapies and develop specific guidelines for refractory cases.
