Trigeminal Neuralgia

Question 1

What is it

Answer 1

• lesion of the trigeminal nerve
• etiology unknown or can result from compression
• occurs in older adults (over 50)
• abrupt onset

Question 2

signs and symptoms

Answer 2

• brief paroxysms of neurogenic pain along distribution of CN V (usually mandibular or maxillary division)
• reoccurring frequently
• unilateral

Question 3

examine

Answer 3

• pain
• trigger points: light touch
• triggering stimuli: extremes of heat or cold, chewing, talking, brushing teeth, movement of air across the face
• motor function: control is normla

Question 4

Medical:

Answer 4

• medications
• alcohol injections
• surgery

Question 5

TENS

Answer 5

may be effective for pain relief

Question 6

yellow/red flags

Answer 6

• bilateral
• vision changes
• age < 40