Chapter 2: Cranial and Peripheral Nerve Disorders = Trigeminal Neuralgia

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Author:
dmshaw9
ID:
298144
Filename:
Chapter 2: Cranial and Peripheral Nerve Disorders = Trigeminal Neuralgia
Updated:
2015-03-10 23:54:30
Tags:
Trigeminal Neuralgia
Folders:
NPTE,Chapter2
Description:
NPTE: Chapter 2
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  1. Etiology
    • Results from degeneration (etiology unknown) or compression (tortuous basilar artery or cerebellopontine tumor)¬†
    • Occurs in older population (mean age ~ 50)
    • Abrupt onset
  2. Characteristics
    • Brief paroxysms of neurogenic pain (stabbing and/or shooting pain)¬†
    • Recurring frequently
    • Occurs along distribution of trigeminal nerve, mandibular and maxillary divisions (involvement of opthalmic division is rare)
    • Restricted to one side of the face
    • Autonomic instability: exacerbated by stress and cold, relieved by relaxation
  3. Examine/Determine
    • Pain: location, intensity
    • Trigger points: light touch to face, lips, or gums will cause pain
    • Triggering stimuli: extremes of heat or cold, chewing, talking, brushing teeth, movement of air across face
    • Motor function: control is normal
  4. Medical Treatment
    • Medications = anticonvulsants, vitamin B12
    • Alcohol injections
    • Surgery = sectioning of nerve, permanent anesthesia¬†
    • TENS can be effective

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