trigeminal neuralgia 1/7

Question 1

what are the general cause of trigeminal neuralgia?

Answer 1

Degeneration or compression
Abnormal pressure on trigeminal nerve - eg. tumor or swollen blood vessel
Irritation of CN5- condition that cause demyelination eg. MS, friction with blood vessel, trauma

Question 2

Are symptoms of trigeminal neuralgia unilateral or bilateral? Episodic or constant?

Answer 2

Unilateral

episodic or constant

Question 3

What are symptoms of episodic trigeminal neuralgia?

Answer 3

Sharp, jolting, stabbing or sharp shock-like

spasms or tics

Question 4

What are symptoms of chronic trigeminal neuralgia?

Answer 4

Persistent aching

Burning sensation

Question 5

What type of activities trigger both episodic and chronic trigeminal neuralgia?

Answer 5

oral care, shaving, chewing

Question 6

patient pop for trigeminal neuralgia?

Answer 6

women >50yr

Question 7

Imaging studies for trigeminal neuralgia

Answer 7

Magnetic resonance angiography-to see blood flow near brainstem and identify any vessels that may be compressing trigeminal nerve

Question 8

What are some potential sources of trigeminal nerve trauma?

Answer 8

Recent sinus or oral surgery
Stroke
Facial trauma

Question 9

symptoms CN5 neuralgia- sensory and motor?

Answer 9

• Motor is normal
• sensory PAIN, Facial pain, facial numbness
• Pain: mouth > nostril, eye, ear
• Abrupt onset, recurring frequently Pain along CN V: mandibular, maxillary
• Brief paroxysms of neurogenic pain (stabbing or shooting pain)
• Unilateral (may be B/L)

Question 10

what exacerbates and relieves CN5 neuralgia?

Answer 10

• Exacerbated by stress, cold, overuse

- Relieved by relaxation

Question 11

what does CN5 do?

Answer 11

Motor & Sensory

• Sensation of face
• Muscles of mastication - masseter, temporalis
• Jaw reflex
• Corneal reflex