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Anderson, V.C., Berryhill, P.C., Sandquist, M.A., Ciaverella, D.P., Nesbit, G.M. and Burchiel, K.J. (2006) Highresolution three-dimensional magnetic resonance angiography and three-dimensional spoiled gradient-recalled imaging in the evaluation of neurovascular compression in patients with trigeminal neuralgia: A double-blind pilot study. Neurosurgery, 58, 666-673. doi:10.1227/01.NEU.0000197117.34888.DE

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• TITLE: Low saturated fat diet is effective in trigeminal neuralgia

  AUTHORS: Narayan Verma, Frank Sherwood

  KEYWORDS: Trigeminal Neuralgia; Low Saturated Fat Diet; Cranial Neuropathy; Neuralgia

  JOURNAL NAME: Open Journal of Preventive Medicine, Vol.3 No.6, August 28, 2013

  ABSTRACT: Objective: To determine the effectiveness of low saturated fat diet (LSFD) in patients with trigeminal neuralgia (TN). Design: 1) Internet forum where patients could request a 10 page LSFD plan, and 2) Follow-up assessment done by a retrospective 20-item questionnaire. Duration of treatment—2 months to 13 years. Pain rated on a Visual Analogue Scale and reported as typical, atypical, or both, defining typical TN as intermittent quick jolts/stabbing pain and atypical TN as continuous never ending discomfort. Setting: General community. Patients: 55 unselected patients, most with unilateral, severe and daily symptoms in V2 and V3 distribution for a mean duration of 8 years and on medications. 84% had pain level 9-10 before treatment, 89% had daily attacks and 31% had undergone surgical procedures. Intervention: LSFD for 2 months-13 years (mean 20 months). Main outcome measure: VAS score and medication use before and after LSFD treatment. Results: Reported SF content was 3-25 gm. With treatment 96% typical TN (p Conclusions: LSFD is effective in TN with high compliance, few adverse effects and may result in reduction/ elimination of medications even in most severe cases.