Trigeminal Neuralgia Flashcards
1
Q
What is trigeminal neuralgia?
A
Compression on the trigeminal nerve
2
Q
What is usually responsible for compression of the trigeminal nerve?
A
Blood vessels
- Aneurysm
Tumour
Chronic meningitis
MS
3
Q
Symptoms?
A
Intense unilateral stabbing pain
Short time
4
Q
Where is the pain most intense?
A
Maxillary
Mandibular division
5
Q
Signs?
A
Screwed up face from the pain
6
Q
DDx?
A
THIS IS THE DDx FOR ALL THE NEURALGIFORM HEADACHES
Longest = cluster headache (15-300 mins)
Longer = trigeminal neuralgia (also more around the mandible than opthalmic area)
Middle = paroxysmal hemicrania (2-30 mins)
Shortest = SUNCT (10 - 240 seconds)
7
Q
Surgical treatment?
A
Resection of tumours
Decompression surgery
8
Q
Pharma treatment?
A
Glycerol ganglion injection
- Glycerol is neurolytic
Analgesia
