Download - Trigeminal Neuralgia ,
![Page 1: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/1.jpg)
TRIGEMINAL NEURALGIA
SMRGU.23 Nov.2013
![Page 2: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/2.jpg)
FACIAL PAIN
Presents along side with headache
![Page 3: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/3.jpg)
PATIENT ASSESMENT WITH FACIAL PAIN
age
![Page 4: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/4.jpg)
SEX PREVALENCE
High Risk Group Low Risk group
![Page 5: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/5.jpg)
Cont.
Localisation could be unilateral OR
Localisation could be• Bilateral
![Page 6: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/6.jpg)
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.
![Page 7: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/7.jpg)
CAUSES
1.Trigeminal nerve compression2.Headache3.Toothache
4.Sinusitis5.Injury to the face .6.Temeperomandibular joint dysfunction.
![Page 8: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/8.jpg)
TRIGEMINAL NEURALGIA
![Page 9: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/9.jpg)
SUCIDE DISEASE
![Page 10: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/10.jpg)
TYPES OF PAIN
1.NOCICEPTIVE 2.NON NOCICEPTIVE (NEUROPATHIC PAIN) Neuropathic pain is divide into * Trigrminal neuralgia*Postherpetic neuralgia
![Page 11: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/11.jpg)
THIS IS TRIGEMINAL NEURALGIA !!!!
![Page 12: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/12.jpg)
UNDERLINE CAUSES
![Page 13: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/13.jpg)
TUMORS
![Page 14: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/14.jpg)
![Page 15: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/15.jpg)
TRAUMATIC DAMAGE
![Page 16: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/16.jpg)
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.
![Page 17: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/17.jpg)
AREAS OF PAIN
![Page 18: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/18.jpg)
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
![Page 19: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/19.jpg)
DIAGNOSIS
MRI
![Page 20: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/20.jpg)
PHARMACOLOGICAL APPROACH TO TRIGEMINAL NEURALGIA
![Page 21: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/21.jpg)
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
![Page 22: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/22.jpg)
SURGICAL APPROACH TO TRIGEMINALNEURALGIA
![Page 23: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/23.jpg)
GOALS OF SURGEON DURING SURGERY
1.DECOMPRESSION OR 2 SEVERING OF THE NERVE
![Page 24: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/24.jpg)
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
![Page 25: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/25.jpg)
MVD
![Page 26: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/26.jpg)
PREVENTION
There are no guildlines for preventin g the development of trigeminal neuralgia,butYou can only take steps to prevent the attack.
![Page 27: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/27.jpg)
TIPS TO AVIOD ATTACKS
1.EAT LUKEWARM FOODS AND DRINKS2.EAT SOFT FOOD3.AVIOD KNOWN TRIGGERS.4.USE COTTON PADS WHEN WASHING YOUR FACE.
![Page 28: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/28.jpg)
WELCOME TO,OUTSIDE THE BOX THOUGHT PROCESS1901
2 CONCLUSIONS
1904
![Page 29: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/29.jpg)
![Page 30: Trigeminal Neuralgia ,](https://reader035.vdocuments.us/reader035/viewer/2022081717/5560e1c9d8b42a086e8b4b2a/html5/thumbnails/30.jpg)