Trigeminal neuralgia Flashcards

1
Q

Clinical features

A
  • unilateral electric shock like pain
  • sudden onset
  • limited to one division of trigeminal nerve
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2
Q

Triggers for Trigeminal Neuralgia pain

A
  • light touch
    e.g. washing, shaving, smoking, talking, and brushing the teeth
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3
Q

RED FLAG symptoms in Trigeminal Neuralgia

A
  • Sensory changes
  • Deafness/ear problems
  • skin or oral lesions
  • Pain only in the ophthalmic division
  • Optic neuritis
  • FHx multiple sclerosis
  • Age of onset <40 years
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4
Q

Management of trigeminal neuralgia

A

carbamazepine

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5
Q

When should you refer a patient with Trigeminal neuralgia to a neurologist

A
  • failure to respond to treatment - atypical features (e.g. < 50 years old)
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6
Q
A
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