<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2182-5173</journal-id>
<journal-title><![CDATA[Revista Portuguesa de Medicina Geral e Familiar]]></journal-title>
<abbrev-journal-title><![CDATA[Rev Port Med Geral Fam]]></abbrev-journal-title>
<issn>2182-5173</issn>
<publisher>
<publisher-name><![CDATA[Associação Portuguesa de Medicina Geral e Familiar]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2182-51732022000400387</article-id>
<article-id pub-id-type="doi">10.32385/rpmgf.v38i4.13137</article-id>
<title-group>
<article-title xml:lang="pt"><![CDATA[Nevralgia do trigémio atípica: um caso clínico]]></article-title>
<article-title xml:lang="en"><![CDATA[Atypical trigeminal neuralgia: case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Capela]]></surname>
<given-names><![CDATA[Mariana Lopes da Cruz]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Inácio]]></surname>
<given-names><![CDATA[Maria Eduarda Constâncio Brás]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ACeS Sintra USF Mactamã ]]></institution>
<addr-line><![CDATA[Massamá ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>30</day>
<month>08</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>30</day>
<month>08</month>
<year>2022</year>
</pub-date>
<volume>38</volume>
<numero>4</numero>
<fpage>387</fpage>
<lpage>391</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2182-51732022000400387&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2182-51732022000400387&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2182-51732022000400387&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  A nevralgia do trigémio consiste numa dor muito intensa, com início súbito e de curta duração, espoletada por estímulos inócuos. No entanto, pode manifestar-se inicialmente de forma atípica tornando o seu diagnóstico mais difícil.  Descrição do caso:  Relata-se um caso de uma mulher de 77 anos de idade com dor tipo moinha no maxilar superior direito, que motivou múltiplos contactos com os cuidados de saúde, tendo sido submetida a vários ciclos de antibioterapia e à extração de um dente, por suspeita inicial de patologia dentária. Posteriormente, a dor evoluiu para um padrão típico de nevralgia do trigémio, pelo que se assumiu este diagnóstico. Iniciou-se terapêutica para controlo da dor com carbamazepina e fez-se o estudo de causas secundárias, no qual foi identificado um meningioma no trajeto do nervo trigémio direito.  Comentário:  As manifestações atípicas da nevralgia do trigémio podem levar a um atraso no diagnóstico desta patologia pelo que é importante ter um elevado nível de suspeição. A terapêutica sintomática deve ser iniciada aquando do diagnóstico e deve ser considerado um estudo de causas secundárias.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Trigeminal neuralgia is a chronic pain disorder characterized by a sudden onset of high-intensity pain triggered by some innocuous stimuli. However, in some cases, it may have atypical manifestations that make diagnosis more difficult.  Case description:  This case reports a 77-year-old woman with dull pain in the upper right jaw that motivated multiple visits to health institutions. The patient underwent several courses of antibiotics and a tooth extraction due to suspicion of dental pathology. Subsequently, the pain evolved to a typical pattern of trigeminal neuralgia and this diagnosis was established. Pain management with carbamazepine was started and the study of secondary causes was initiated resulting in the identification of a meningioma in the right trigeminal path.  Comment:  The atypical manifestations of trigeminal neuralgia can lead to a misdiagnosis of this pathology and for this reason a high clinical suspicion is important. The symptomatic therapy should be initiated at the time of the diagnosis and an investigation of secondary causes should be performed.]]></p></abstract>
<kwd-group>
<kwd lng="pt"><![CDATA[Nevralgia do trigémio]]></kwd>
<kwd lng="pt"><![CDATA[Meningioma]]></kwd>
<kwd lng="pt"><![CDATA[Carbamazepina]]></kwd>
<kwd lng="pt"><![CDATA[Relato de caso]]></kwd>
<kwd lng="en"><![CDATA[Trigeminal neuralgia]]></kwd>
<kwd lng="en"><![CDATA[Meningioma]]></kwd>
<kwd lng="en"><![CDATA[Carbamazepine]]></kwd>
<kwd lng="en"><![CDATA[Case report]]></kwd>
</kwd-group>
</article-meta>
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