NA2-CN Lesions, Trig Neuralgia

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Author:
agatton
ID:
21851
Filename:
NA2-CN Lesions, Trig Neuralgia
Updated:
2010-06-03 00:21:13
Tags:
wccmt
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Description:
Trigeminal Neuralgia
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  1. Define Trigeminal Neuralgia
    (AKA Tic Douloureux)
    • Pain syndrome affecting CN 5
    • Sensory perception to face
    • Motor perception to MMs of Mastication and Tensor tympani of mid ear
    • Usually unilateral
    • Women > Men
  2. Causes of Trigeminal Neuralgia
    • Local NN compression
    • Conditions that cause demyelination (MS)
  3. S&S of Trigeminal Neuralgia:
    • Very sharp, severe pain
    • Pt reports stabbing, electrical, burning sensations
  4. Trigeminal Neuralgia DDx
    Cluster HA
  5. Branches of CN 5
    (3)
    • Othalmic
    • Maxillary
    • Mandibular
  6. Trigeminal Neuralgia common trigger zones
    Lips, tongue, edge of nose, other face areas
  7. Trigeminal NN pathway
    Thru pterygopalatine fossa
  8. Trigeminal Neuralgia Special Tests
    (2)
    • 1. Corneal Reflex:
    • 2. Movement of Jaw
    • 3. TP in MMs of Mastication
  9. Trigeminal Neuralgia Tx Goals
    • D. Breathing
    • Dec. SNS, Pain, Edema
    • Tx Comps
    • Maintain Tissue health
    • Prevent contracture

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