Trigeminal Neuralgia Flashcards

1
Q

Tic douloreux cause

A

Impaired inhibitory mechanism in brainstem caused by excessive firing or irritated fibers in trigeminal nerve

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2
Q

Who it affects

A

Older than 50
Women>men
Genetic
Remissions exacerbation

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3
Q

Symptoms

A

Electric shock pain
Unilateral
Facial spasm

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4
Q

Diagnosis

A

CT or MRI and history

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5
Q

People may avoid

A

Talking
Smiling
Brushing teeth
Eating

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6
Q

Priority

A

Pain management

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7
Q

Carbamazepine

A

Antiepileptic

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8
Q

Pregabalin (lyrica)

A

For nerve pain

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9
Q

Baclofen

A

Muscle relaxant

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10
Q

Pertcutaneous sterotactic rhizotomy

A

Hollow needle
Heat destroys fibers

Puncture carotid?
No more pain sensation!!!permanent!!!

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11
Q

Craniotomy with microbascular decompression

A

Relocate artery that compresses trigeminal nerve

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