trigeminal neuralgia ,
DESCRIPTION
Very coo explanation for trigeminal neuralgiaTRANSCRIPT
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 unilateral OR
Localisation could be• Bilateral
OTHERS
Class A• Quality : throbbing, sharp• Trigger zone: touch the site
where the originate (nerve root identificattion )
Class b• Frequency : can be constantOr paroxysmal remission.
CAUSES
1.Trigeminal nerve compression2.Headache3.Toothache
4.Sinusitis5.Injury to the face .6.Temeperomandibular joint 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 NEURALGIA1.INTERMITTENT TWINGES OF MILD PAIN2.SEVERE EPISODE OF SEARING,SHOOTING,JABBING PAIN THAT FEELS LIKE ELECTRIC SHOCK
3.UNILATERAL PAIN.TINGLING AND NUMBNESS OF THE FACE.
AREAS OF PAIN
CLASSIFICATION OF TRN
TYPICAL TIGEMINAL NEURALGIA
• PAIN IS SHARP,THROBBING,AND ELECTEIC SHOCK LIKE
..THERE IS NO WEAKNESS OR FACIAL NUMBESS
ATYPICAL TRIGEMINAL NEURALGIA
• BURNING PAIN,ACHING PAIN, CRAMPING PAIN.
• IT EXTEND TO THE REGION OF THE NECK.
• IT IS HARDER TO DIAGNOSE PEOPLE WITH ATYPICAL TRN
DIAGNOSIS
MRI
PHARMACOLOGICAL APPROACH TO 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 TRIGEMINALNEURALGIA
GOALS OF SURGEON DURING SURGERY
1.DECOMPRESSION OR 2 SEVERING OF THE NERVE
SURGICAL APPROACH
1.MICROVASCULAR DECOMPRESSION SURGERY (MVD)2.PERCUTANEOUS GLYCEROL RHIZOTOMY (PGR)3.PERCUTANEOUS BALLON COMPRESSION OF TRIGEMINAL NERVE (PBCTN)4.PERCUTANEOUS STEREOSTATIC RADIOFREQUENCY THERMAL RHIZOTOMY (PSRTR)5.PARTIAL SENSORY RHIZOTOMY6.GAMMA KNIFE RADIOSURGERY
MVD
PREVENTION
There are no guildlines for preventin g the development of trigeminal neuralgia,butYou can only take steps to prevent the attack.
TIPS TO AVIOD ATTACKS
1.EAT LUKEWARM FOODS AND DRINKS2.EAT SOFT FOOD3.AVIOD KNOWN TRIGGERS.4.USE COTTON PADS WHEN WASHING YOUR FACE.
WELCOME TO,OUTSIDE THE BOX THOUGHT PROCESS1901
2 CONCLUSIONS
1904