TN

Question 1

Trigeminal Neuralgia (TN) characterized by

Answer 1

Sudden, unilateral recurrent p! along trigeminal nerve

Question 2

Trigeminal Neuralgia (TN) related too

Answer 2

Shingles, multiple sclerosis, or cerebellar or brainstem masses

Question 3

TN1 manifestations

Answer 3

Abrupt onset of waves

Question 4

TN1 mainfestations s/s

Answer 4

Burning
knifelike
Lightning-like shock in lips, upper/lower gums, forehead

Question 5

Acute attack of TN1

Answer 5

facial twitching, grimacing, frequent blinking and tearing

Question 6

TN1 pain starts

Answer 6

with trigger

seconds- 2 to 3 minutes

Question 7

Stimuli of TN1 includes

Answer 7

chewing, brushing teeth, hot or cold blast of air, washing the face, yawning, or talking

Question 8

TN diagnosis

Answer 8

based on history & symptoms

Neuro exam; MRI

Question 9

Goal of care:

Answer 9

pain relief

Question 10

Drug therapy for TN

Answer 10

Anti-seizure drugs
Tricyclic antidepressants
Local nerve block (botox)

Question 11

Pt education for TN

Answer 11

Nutrition; easy to chew food; lukewarm; high protein

NGT on unaffected side

Hygiene
Dental visits semiannually