Trigeminal neuralgia presentation

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  • 1. DEPARTMENT OF ORAL PATHOLOGY
  • 2. Compression of blood vessels, especially the superior cerebellar artery occurs Chronic irritation of trigeminal nerve at the root entry zone Increased firing of the afferent or sensory fibres Trigeminal neuralgia
  • 3. Right side > left side 1.7 : 1 nerve Involvement : maxillary-60% mandibular-49% ophthalmic-16% all 3 divisions-1%
  • 4. Unilateral pain Early pain or pretrigeminal neuralgia :-dull,aching,burning. Pain lasts for few seconds to a minute. Aggravates and sufferer have attempted suicide.