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What is Trigeminal Neuralgia?

Posted on September 4, 2014 | 1 Comment on What is Trigeminal Neuralgia?

Trigeminal Neuralgia (Tic Douloureaux) is a condition of the 5th cranial nerve by brief, recurring attacks of agonizing pain along the distribution of one or more divisions of the nerve — ophthalmic, maxillary and mandibular

Etiology: unknown

Signs & Symptoms: attacks precipitated by pressure on a trigger point (shaving, talking, washing, and cold wind may precipitate an agonizing attack)

Rx: Avoid serving food that is too hot or cold

Drug Therapy:

  • Antiepileptic drug (gives pain relief to some patient) e.g. Dilantin
  • Carbamazeprine (Tegretol) – relieves and prevents pain

Surgical Intervention:

  • Intracranially by sectioning the preganglionic fibers to the area of pain – gives permanent relief but makes affected side of face permanently numb
  • Peripherally by alochol injection of ganglion or peripheral branches produces a chemical destruction of the affected nerves – pain returns after nerve regeneration.

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  1. Dan Reply

    My mother is suffering from that! She’s taking Tegretol.

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