Trigeminal Neuralgia Flashcards
1
Q
Tic douloreux cause
A
Impaired inhibitory mechanism in brainstem caused by excessive firing or irritated fibers in trigeminal nerve
2
Q
Who it affects
A
Older than 50
Women>men
Genetic
Remissions exacerbation
3
Q
Symptoms
A
Electric shock pain
Unilateral
Facial spasm
4
Q
Diagnosis
A
CT or MRI and history
5
Q
People may avoid
A
Talking
Smiling
Brushing teeth
Eating
6
Q
Priority
A
Pain management
7
Q
Carbamazepine
A
Antiepileptic
8
Q
Pregabalin (lyrica)
A
For nerve pain
9
Q
Baclofen
A
Muscle relaxant
10
Q
Pertcutaneous sterotactic rhizotomy
A
Hollow needle
Heat destroys fibers
Puncture carotid?
No more pain sensation!!!permanent!!!
11
Q
Craniotomy with microbascular decompression
A
Relocate artery that compresses trigeminal nerve