Trigeminal Neuralgia Flashcards
1
Q
Diagnostic criteria
A
recurrent paroxysms of unilateral face pain in 1+ division of the TN, with no radiation beyond
PAIN: lasts fraction of a second/2 mins, severe intensity, electric shock/stabbing/sharp
precipitated by innocuous stimuli in the affected distribution
2
Q
causes
A
MS- MS plaque in trigeminal root entry zone
space occupying lesions- arteriovenous malformation
3
Q
typical pt
A
masks like face, older, appearance of excruciating pain
all pts get MRI
4
Q
first line drugs
A
carbamazepine, oxcarbazepine, lamotrigine
4
Q
second line tx
A
gabapentin, pregabalin, phenytoin, baclofen
5
Q
surgical options
A
microvascular decompression
only consider when approaching max tolerable pain or younger pts
