Lec 6 Part II Flashcards
Often seen in patients with trigeminal neuralgia.
Teeth extracted bc they think it’s the cause of their pain.
Most frequently diagnosed form of neuralgia.
Trigeminal Neuralgia
Trigeminal neuralgia more common in males or females?
Females
Location of trigeminal neuralgia pain.
Unilateral, more common on right side.
Trigeminal neuralgia rarely involves this branch.
Ophthalmic
How long do TN attacks last?
Seconds
This is normal in TN patients.
Cranial nerve exam
Often occurs with TN.
Multiple sclerosis
What causes TN?
Compression of the trigeminal nerve by neoplastic or vascular entities and demyelinating conditions.
A demyelinating condition that can cause trigeminal neuralgia.
MS
Meds for TN
Anticonvulsants
Pain when swallowing
Glossopharyngeal Neuralgia
GN more common in males or females?
Males
These occur after the attacks in Glossopharyngeal Neuralgia.
refractory periods
What causes GN?
Unknown
Can be mistaken for myofascial pain.
Odontogenic pain
A type of non-odontogenic pain.
Atypical Odontalgia
Atypical Odontalgia AKA
Atypical Facial PAIN
Phantom Tooth Pain
Chronic pain in a tooth, or in a site where teeth have been extracted, without an identifiable cause.
Atypical Odontalgia
How long does Atypical Odontalgia last?
Minutes to Hours
Radiographic feature seen in Eagle’s Syndrome.
Calcification of the stylohyoid ligament
Primary complaint of Eagle’s Syndrome.
Dysphagia
Sensation of a foreign body in the throat.
This alone does not mean it’s Eagle’s Syndrome.
Calcification of the stylohyoid ligament.
Secondary complaints of what?
Otalgia Headache Pain in the distribution of the carotid Pain in the TMJ Generalized facial pain
Eagle’s Syndrome
Can cause what kind of pain:
Giant cell arteritis Ear infection Sinus infection Lyme Disease Herpes Zoster
Orofacial pain
Have an elevated erythrocyte sedementation rate in this disease.
Temporal arteritis
Gold standard for diagnosing Temporal Arteritis
Biopsy
Medication for Temporal Arteritis
High dose corticosteroids (Prednisone) –> anti-inflammatory
Occurs if Temporal Arteritis is left untreated.
Blindness
Symptom of Temporal Arteritis
Blurry vision that does not go away, and worsens when you palpate the artery.
This is absent in Temporal Arteritis
Lymphadenopathy
Fever, fatigue, malaise, weight loss, and night sweats found in what?
Temporal Arteritis
Cause of temporal arteritis
Autoimmune
Temporal Arteritis more common in males or females?
Females
A branch of the carotid artery.
Temporal Artery
Equalizes pressure in the middle ear to that of the external environment.
Eustachian tube.
What does the Eustachian tube connect?
Middle ear to nasopharynx.
Interstitial fluid forms in the Eustachian Tube, and bacteria grow to cause a middle ear infection.
Otitis Media
Babies with otitis media don’t want to do this or cry when they do this bc pressure increases and causes pain.
Lay down
Causes otitis media.
Bacterial or Viral infections from an upper respiratory infection,
Central event in sinusitis.
Blockage of the sinus
Symptoms of what?
Nasal stiffness Sinus fullness Post-nasal drip Tenderness over the sinus Aching of maxillary teeth
Maxillary sinusitis
Lyme Diseases bacterial or viral?
BACTERIAL
Dx:
Bull’s Eye Rash
Flu-like Symptoms
Joint pain
Neurological problems
Lyme Disease
Herpes Zoster (Shingles) involves this division of trigeminal nerve 80% of the time.
Ophthalmic
Reactivation of this causes Herpes Zoster
Varicella-zoster virus
Dx:
- Duration = constant
- Location = along affected nerve
- Quality = Burning, sharp, aching, shooting, itching, tingling
- Intensity = moderate to severe
- Herpetic, maculopapular rash
Shingles (Herpes Zoster Virus)
A condition characterized by pain that persists for more than 3 months after healing of a shingles rash.
Postherpetic neuralgia
Dx:
1) increasing in intensitywith increasing sexual excitement
2) Abrupt explosive intensity just before or with orgasm.
Primary Headache Associated with Sexual Activity
A stiff neck may be a sign of what?
Meningitis
These have a sudden release of Histamine or Serotonin
Cluster headaches
How long does TN last?
A few seconds
Feels like electric shock,
This pain can shift locations.
Atypical Odontalgia
