Trigeminal neuralgia is a neuropathic pain condition that causes severe, sporadic facial pain. It is characterized by episodes of sharp, shooting pain in areas of the face innervated by the trigeminal nerve. The pain can be triggered by everyday activities like eating or talking. Trigeminal neuralgia is often caused by compression of the trigeminal nerve root from blood vessels, but may also be due to tumors or traumatic injury. Treatment involves medications like anticonvulsants or surgery to decompress the nerve if medications do not provide relief from the debilitating pain.

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

15. TRAUMATIC DAMAGE

16. 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.

17. AREAS OF PAIN

18. 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

19. DIAGNOSIS
MRI

20. PHARMACOLOGICAL APPROAC
TRIGEMINAL NEURALGIA

21. 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

22. SURGICAL APPROACH TO TRIGEMINAL
NEURALGIA

23. GOALS OF SURGEON DURING SURGERY
1.DECOMPRESSION OR 2 SEVERING OF THE NER

24. 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

25. MVD

26. PREVENTION
There are no guildlines for preventin g the
development of trigeminal neuralgia,but
You can only take steps to prevent the attack.

27. 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

28. WELCOME TO,OUTSIDE
THE BOX THOUGHT
PROCESS
1901
2 CONCLUSIONS
1904