Your SlideShare is downloading. ×
Trigeminal Neuralgia ,
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Trigeminal Neuralgia ,

1,385

Published on

Very coo explanation for trigeminal neuralgia

Very coo explanation for trigeminal neuralgia

0 Comments
2 Likes
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
1,385
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
139
Comments
0
Likes
2
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. TRIGEMINAL NEURALGIA SMRGU.23 Nov.2013
  • 2. FACIAL PAIN Presents along side with headache
  • 3. PATIENT ASSESMENT WITH FACIAL PAIN age
  • 4. SEX PREVALENCE High Risk Group Low Risk group
  • 5. Cont. Localisation could be unilateral OR Localisation could be • Bilateral
  • 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. CAUSES 1.Trigeminal nerve compression 2.Headache 3.Toothache 4.Sinusitis 5.Injury to the face . 6.Temeperomandibular joint dysfunction.
  • 8. TRIGEMINAL NEURALGIA
  • 9. SUCIDE DISEASE
  • 10. TYPES OF PAIN 1.NOCICEPTIVE 2.NON NOCICEPTIVE (NEUROPATHIC PAIN) Neuropathic pain is divide into * Trigrminal neuralgia *Postherpetic neuralgia
  • 11. THIS IS TRIGEMINAL NEURALGIA !!!!
  • 12. UNDERLINE CAUSES
  • 13. TUMORS
  • 14. TRAUMATIC DAMAGE
  • 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. AREAS OF PAIN
  • 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. DIAGNOSIS MRI
  • 19. PHARMACOLOGICAL APPROAC TRIGEMINAL NEURALGIA
  • 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. SURGICAL APPROACH TO TRIGEMINAL NEURALGIA
  • 22. GOALS OF SURGEON DURING SURGERY 1.DECOMPRESSION OR 2 SEVERING OF THE NER
  • 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. MVD
  • 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. 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. WELCOME TO,OUTSIDE THE BOX THOUGHT PROCESS 1901 2 CONCLUSIONS 1904

×