Document ID: chunk:federal_register_of_legislation:F2024L01335:front:0:p1
Version: federal_register_of_legislation:F2024L01335
Segment Type: other
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Character Range: 0–3439

Statement of Principles
concerning
TRIGEMINAL NEURALGIA OR TRIGEMINAL NEUROPATHY
(Reasonable Hypothesis)
(No. 84 of 2024)
The Repatriation Medical Authority determines the following Statement of Principles under subsection 196B(2) of the Veterans' Entitlements Act 1986.

Dated                                                            18 October 2024.

Professor Terence Campbell AM
Chairperson
by and on behalf of
The Repatriation Medical Authority

Contents
1 Name
2 Commencement
3 Authority
4 Repeal
5 Application
6 Definitions
7 Kind of injury, disease or death to which this Statement of Principles relates
8 Basis for determining the factors
9 Factors that must exist
10 Relationship to service
11 Factors referring to an injury or disease covered by another Statement of Principles
Schedule 1 - Dictionary
1 Definitions

 1.                Name
This is the Statement of Principles concerning trigeminal neuralgia or trigeminal neuropathy (Reasonable Hypothesis) (No. 84 of 2024).
 1.                Commencement
              This instrument commences on 19 November 2024.
 1.                Authority
This instrument is made under subsection 196B(2) of the Veterans' Entitlements Act 1986.
 1.                Repeal
The Statements of Principles concerning trigeminal neuropathy (No. 79 of 2015) (Federal Register of Legislation No. F2015L00911) and trigeminal neuralgia No. (77 of 2015) (Federal Register of Legislation No. F2015L00909)  made under subsection 196B(2) of the VEA are repealed.
 1.                Application
This instrument applies to a claim to which section 120A of the VEA or section 338 of the Military Rehabilitation and Compensation Act 2004 applies.
 1.                Definitions
The terms defined in the Schedule 1 - Dictionary have the meaning given when used in this instrument.
 1.                Kind of injury, disease or death to which this Statement of Principles relates
         1.           This Statement of Principles is about trigeminal neuralgia or trigeminal neuropathy  and death from trigeminal neuralgia or trigeminal neuropathy .
Meaning of trigeminal neuralgia or trigeminal neuropathy
 1.           For the purposes of this Statement of Principles:
trigeminal neuralgia:
 1.           means a clinical facial pain syndrome characterised by recurring paroxysmal attacks of severe, electric shock-like, shooting, stabbing or sharp pain lasting from a fraction of a second to 2 minutes, occurring in the distribution of one or more divisions of the trigeminal nerve, which are precipitated by innocuous stimuli to the affected side of the face; and
 2.            includes classical trigeminal neuralgia and secondary trigeminal neuralgia; and
 3.            excludes:
         1.             dental or periodontal pain of local origin;
         2.          facial presentations of primary headache disorders;
         3.         glossopharyngeal neuralgia;
         4.         postherpetic neuralgia;
         5.           short-lasting unilateral neuralgiform headache attacks with conjunctival injection and tearing (SUNCT); and
         6.         trigeminal neuropathy.
Note 1: The trigeminal (or fifth cranial) nerve arises from the lateral surface of the mid-pons and traverses the middle cranial fossa to Meckel's cave, where the trigeminal ganglion splits into three divisions (ophthalmic, maxillary and mandibular). The trigeminal nerve includes sensory and motor