What Is A Trigeminal Neuralgia?

March 12 22:51 2019 Print This Article

It is defined as a disorder in which there is an involvement of the trigeminal nerve. There is a pain which is sharp and cannot be localized. It is also known as tic Douloureux. It is also known as suicide disease. In this both the trigeminal nerves are involved. It is not easy to be controlled. It cannot be cured and the pain radiates to eyes, ears, lips, scalp and nose. It can also move to teeth and jaw alongside face. There are very few cases of this disorder. It is quite common after the age of 50 and females are commonly involved. But in few cases there are young children which are also involved. The pain starts with a little stimulation and a patient is very much afraid to touch the cheek. One is not able to bear even cold winds, noises etc. The condition gets worsened by chewing or talking and the patient is scared of smiling too.

What are the signs and symptoms of Trigeminal neuralgia?

It includes the pain which cannot be cured and the pain radiates to eyes, ears, lips, scalp and nose. It can also move to teeth and jaw alongside face. There are very few cases of this disorder. It lasts for few minutes or even hours. The episode occurs paroxysmal. The pain starts with a little stimulation and a patient is very much afraid to touch the cheek. One is not able to bear even cold winds, noises etc. The pain is like an electric shock which cannot be traced.

One side of the face is affected and the pain follows a cyclic pattern. It occurs hundreds of a time in a day. In few cases the pain may be present on both the sides of face. It means both the trigeminal nerves are involved and one affects the right side and the other affects the left hand side. Most of the patient has pain in one branch and the other have a pain in the other branches. These signs are seen in the males and they even do not go for shaving. The person is scared of even doing normal activities.

There is other type of neuralgia known as atypical trigeminal neuralgia in which there is a severe pain which resembles a migraine. It is a stabbing like pain. There is a boring pain which is not relenting. Before the development of trigeminal neuralgia there is a development of this syndrome known as atypical trigeminal neuralgia which is referred as ATN.

How Trigeminal neuralgia can be diagnosed?

It includes mainly the use of symptoms and a proper clinical history. The type, duration as well as its extent and severity must be known. The pain lasts for few minutes or even hours. The episode occurs paroxysmal. The pain starts with a little stimulation and a patient is very much afraid to touch the cheek. One is not able to bear even cold winds, noises etc. One side of the face is affected and the pain follows a cyclic pattern. It occurs hundreds of a time in a day. The person is scared of even doing normal activities.

How Trigeminal neuralgia can be treated?

It includes that there is no specific treatment for this disorder. It is not properly diagnosed. A proper diagnosis is made with the help of many clinicians before a diagnosis is made.

There is proof that the points towards the need to treat and diagnose this condition. Most of the patients suffer this condition and this condition can be reversed. There must be a conservative treatment towards a dentist and all teeth must be examined properly. So, the proper diagnosis can be made.

There are number of medicines which are used to treat this condition. It includes the anti convulsions drugs mainly the carbamazepine which is the most common drug. The other most common drugs which we use are the phenytoin, baclofen, sodium valporate and gabapentin. One can also go for anti depressants drugs such as amytriptiline which are used to treat this nerve disorder. Its main use is the depression. It cannot be used in case of actual pain. The botox can also be used which is injected into the nerve. It is used to treat the migraine like condition. One can also go for neuro stimulator.

In some cases if the patient cannot take anti convulsion drugs for years one must take a drug known as gaba pentin which is applied to outside. If there is a pain in the nerve one can also go for opiates and they include morphine mainly.

The other treatment option available is surgery. It decreases the pressure on nerves and one can damage the nerve in such a way so that the pain signals cannot be transferred. It gives an early success in most of the patients but far reached results are not proven. There is a need of follow up again and again.

The most common surgery is the depression of micro vessels. There is an incision which is made at the back of ear and one must look for the nerve. The nerves and vessels are separated by a piece of surgical material known as Teflon. If the surgery is successful than the pain is not permanent.

The success rates are quite high in the cases of per cutaneous surgeries. It is known as balloon compression. It is successful in the case of elder people. Glycerol injections are also quite helpful. As they have a capacity to injure the nerve cells. One can also go for radio frequency rhizotomy.

How Trigeminal neuralgia can be caused?

It includes the compression of nerve in the skull. There is sometimes a large blood vessel like the superior artery of brain which puts the pressure on nerves. It causes an injury to myelin sheath of nerve which leads to increase in the activity of function of nerves. It leads to pain and the stimulation of any area which is served by this nerve does not lead to shutting of the signals of pain even if there is no stimulation. It can occur with the help of cyst and tumor. There are few patients of this disorder who have trigeminal neuralgia.

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