Trigeminal Neuralgia

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Author:
busdriverre
ID:
1356
Filename:
Trigeminal Neuralgia
Updated:
2009-11-21 20:40:14
Tags:
Trigeminal Neuralgia
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Description:
Trigeminal Neuralgia
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  1. Trigeminal Neuralgia
    • affects trigeminal (5th) cranial nerve
    • more in people >50 yrs
    • pain w/sudden intense facial spasms
    • one-sided
  2. Trigeminal Neuralgia-assessment
    • is a chronic pain symdrome
    • pain described as excruciating, sharp, shooting, piercing, burning
    • bouts of pain followed by remission
  3. Trigeminal Neuralgia-interventions
    • Pain is priority.
    • drug therapy first choice
  4. Trigeminal Neuralgia-nonsurgical management
    • antiepileptic drugs: carbamazepine and gabapentin
    • baclofen (muscle relaxer)
    • lidocaine or calcitonin intranasal spray
    • NOT EFFECTIVE: opioids and NSAIDs
  5. Trigeminal Neuralgia-surgical management
    • percutaneous stereotactic rhizotomy (PSR):hollow needle thru cheek into trigeminal nerve, heat current destroys some of the fibers but NOT entire nerve
    • balloon microcompression:balloon compresses trigeminal nerve

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