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  • Dokumen - Tips Trigeminal-Neuralgia

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    Priya Anggiyesi Ginting
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    This document discusses trigeminal neuralgia, a neuropathic pain condition affecting the trigeminal nerve which supplies sensation to the face. It causes severe, sporadic facial pain. Trigeminal neuralgia is more common in older adults and women. Symptoms include intermittent sharp, shooting pains in areas of the face innervated by the trigeminal nerve. Causes may include compression of the trigeminal nerve root by blood vessels. Diagnosis involves neurological examination and MRI imaging. Treatment involves anticonvulsant medications or surgical procedures such as microvascular decompression to relieve nerve compression. Lifestyle modifications can help prevent pain attacks.

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    This document discusses trigeminal neuralgia, a neuropathic pain condition affecting the trigeminal nerve which supplies sensation to the face. It causes severe, sporadic facial pain. Trigeminal neuralgia is more common in older adults and women. Symptoms include intermittent sharp, shooting pains in areas of the face innervated by the trigeminal nerve. Causes may include compression of the trigeminal nerve root by blood vessels. Diagnosis involves neurological examination and MRI imaging. Treatment involves anticonvulsant medications or surgical procedures such as microvascular decompression to relieve nerve compression. Lifestyle modifications can help prevent pain attacks.

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    13 views30 pages

    Dokumen - Tips Trigeminal-Neuralgia

    Uploaded by

    Priya Anggiyesi Ginting
    This document discusses trigeminal neuralgia, a neuropathic pain condition affecting the trigeminal nerve which supplies sensation to the face. It causes severe, sporadic facial pain. Trigeminal neuralgia is more common in older adults and women. Symptoms include intermittent sharp, shooting pains in areas of the face innervated by the trigeminal nerve. Causes may include compression of the trigeminal nerve root by blood vessels. Diagnosis involves neurological examination and MRI imaging. Treatment involves anticonvulsant medications or surgical procedures such as microvascular decompression to relieve nerve compression. Lifestyle modifications can help prevent pain attacks.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 30

    TRIGEMINAL NEURALGIA

    SMRGU.23 Nov.2013
    FACIAL PAIN

    Presents along side with headache


    PATIENT ASSESMENT WITH
    FACIAL PAIN

    age
    SEX PREVALENCE

    High Risk Group Low Risk group


    Cont.
    Localisation could be Localisation could be
    unilateral OR • Bilateral
    OTHERS
    Class A Class b
    • Quality : throbbing, sharp • Frequency : can be constant
    • Trigger zone: touch the site Or paroxysmal remission.
    where the originate (nerve
    root identificattion )
    CAUSES

    1.Trigeminal nerve 4.Sinusitis


    compression 5.Injury to the face .
    2.Headache 6.Temeperomandibular joint
    3.Toothache dysfunction.
    TRIGEMINAL NEURALGIA
    SUCIDE DISEASE
    TYPES
    OF PAIN
    1.NOCICEPTIVE
    2.NON NOCICEPTIVE (NEUROPATHIC PAIN)
    Neuropathic pain is divide into
    * Trigrminal neuralgia
    *Postherpetic neuralgia
    THIS IS TRIGEMINAL NEURALGIA !!!!
    UNDERLINE CAUSES
    TUMORS
    TRAUMATIC DAMAGE
    SYMPTOMS OF
    TRIGEMINAL
    NEURALGIA
    1.INTERMITTENT TWINGES OF MILD PAIN
    2.SEVERE EPISODE OF SEARING,SHOOTING,JABBING PAIN THAT FEELS LIKE ELECTRIC SHO

    3.UNILATERAL PAIN.
    TINGLING AND NUMBNESS OF THE FACE.
    AREAS OF PAIN
    CLASSIFICATION OF TRN
    TYPICAL TIGEMINAL NEURALGIA ATYPICAL TRIGEMINAL NEURALGIA
    • PAIN IS SHARP,THROBBING, • BURNING PAIN,ACHING
    AND ELECTEIC SHOCK LIKE PAIN, CRAMPING PAIN.
    • IT EXTEND TO THE REGION
    ..THERE IS NO WEAKNESS OR OF THE NECK.
    FACIAL NUMBESS • IT IS HARDER TO DIAGNOSE
    PEOPLE WITH ATYPICAL TRN
    DIAGNOSIS

    MRI
    PHARMACOLOGICAL APPROACH T
    TRIGEMINAL NEURALGIA
    ANTI CONVULSANT :
    TEGRETOL,CARBATROL. SOMETIMES GABAPENTINE IS USED.

    Side effect include: dizziness , confusion , drowsiness ,vision problem


    e.t.c
    sucidal thoughts.

    ANTISPASTICITY AGENTS : BACLOFEN EITHER INDEPENDENTLY OR IN


    COMBINATION WITH CARBAMAZEPINE OR PHENYTOIN .

    ALCOHOL INJECTION : CAUSES NUMBING EFFECT


    SURGICAL APPROACH TO TRIGEMINAL
    NEURALGIA
    LS OF SURGEON DURING SURGERY
    OMPRESSION OR 2 SEVERING OF THE NERVE
    SURGICAL
    APPROACH

    VASCULAR DECOMPRESSION SURGERY


    TANEOUS GLYCEROL RHIZOTOMY (PGR
    TANEOUS BALLON COMPRESSION OF T
    PBCTN)
    TANEOUS STEREOSTATIC RADIOFREQU
    AL RHIZOTOMY (PSRTR)
    AL SENSORY RHIZOTOMY
    A KNIFE RADIOSURGERY
    MVD
    PREVENTION

    There are no guildlines for preventin g the


    development of trigeminal neuralgia,but
    You can only take steps to prevent the attack.
    TIPS TO AVIOD ATTACKS

    UKEWARM FOODS AND DRINKS


    FT FOOD
    KNOWN TRIGGERS.
    OTTON PADS WHEN WASHING YO
    WELCOME TO,OUTSIDE THE
    BOX THOUGHT PROCESS

    1901
    2 CONCLUSIONS

    1904

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