Trigeminal Neuralgia ,

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Very coo explanation for trigeminal neuralgia

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Trigeminal Neuralgia ,

  1. 1. TRIGEMINAL NEURALGIA SMRGU.23 Nov.2013
  2. 2. FACIAL PAIN Presents along side with headache
  3. 3. PATIENT ASSESMENT WITH FACIAL PAIN age
  4. 4. SEX PREVALENCE High Risk Group Low Risk group
  5. 5. Cont. Localisation could be unilateral OR Localisation could be • Bilateral
  6. 6. OTHERS Class A • Quality : throbbing, sharp • Trigger zone: touch the site where the originate (nerve root identificattion ) Class b • Frequency : can be constant Or paroxysmal remission.
  7. 7. CAUSES 1.Trigeminal nerve compression 2.Headache 3.Toothache 4.Sinusitis 5.Injury to the face . 6.Temeperomandibular joint dysfunction.
  8. 8. TRIGEMINAL NEURALGIA
  9. 9. SUCIDE DISEASE
  10. 10. TYPES OF PAIN 1.NOCICEPTIVE 2.NON NOCICEPTIVE (NEUROPATHIC PAIN) Neuropathic pain is divide into * Trigrminal neuralgia *Postherpetic neuralgia
  11. 11. THIS IS TRIGEMINAL NEURALGIA !!!!
  12. 12. UNDERLINE CAUSES
  13. 13. TUMORS
  14. 14. TRAUMATIC DAMAGE
  15. 15. SYMPTOMS OF TRIGEMINAL NEURALGIA 1.INTERMITTENT TWINGES OF MILD PAIN 2.SEVERE EPISODE OF SEARING,SHOOTING,JABBING PAIN THAT FEELS LIKE ELECTRIC SHO 3.UNILATERAL PAIN. TINGLING AND NUMBNESS OF THE FACE.
  16. 16. AREAS OF PAIN
  17. 17. 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
  18. 18. DIAGNOSIS MRI
  19. 19. PHARMACOLOGICAL APPROAC TRIGEMINAL NEURALGIA
  20. 20. 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
  21. 21. SURGICAL APPROACH TO TRIGEMINAL NEURALGIA
  22. 22. GOALS OF SURGEON DURING SURGERY 1.DECOMPRESSION OR 2 SEVERING OF THE NER
  23. 23. SURGICAL APPROACH 1.MICROVASCULAR DECOMPRESSION S 2.PERCUTANEOUS GLYCEROL RHIZOTOM 3.PERCUTANEOUS BALLON COMPRESSI NERVE (PBCTN) 4.PERCUTANEOUS STEREOSTATIC RADI THERMAL RHIZOTOMY (PSRTR) 5.PARTIAL SENSORY RHIZOTOMY 6.GAMMA KNIFE RADIOSURGERY
  24. 24. MVD
  25. 25. PREVENTION There are no guildlines for preventin g the development of trigeminal neuralgia,but You can only take steps to prevent the attack.
  26. 26. TIPS TO AVIOD ATTACKS 1.EAT LUKEWARM FOODS AND DRINKS 2.EAT SOFT FOOD 3.AVIOD KNOWN TRIGGERS. 4.USE COTTON PADS WHEN WASHING YOUR FACE
  27. 27. WELCOME TO,OUTSIDE THE BOX THOUGHT PROCESS 1901 2 CONCLUSIONS 1904

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