trigeminal neuralgia Flashcards
1
Q
define trigeminal neuralgia?
A
Neuralgia involving one or more of the branches of the trigeminal nerves, often causing severe unilateral pain.
2
Q
what are the causes of trigeminal neuralgia?
A
• Majority of cases are idiopathic
- can be due to compression caused by artery or vein or occasionally tumours
3
Q
epidemiology of trigeminal neuralgia?
A
- Peak incidence: 50-60 yrs
- Prevalence increases with age
- More common in FEMALES
4
Q
presenting symptoms of trigeminal neuralgia?
A
- Sudden, shock like, unilateral, brief, stabbing pain
- few seconds to a couple of mins
- Periods of remission can vary
5
Q
triggers for trigeminal neuralgia?
A
o Vibration o Skin contact o Brushing teeth o Oral intake o Exposure to wind
6
Q
investigations into trigeminal neuralgia?
A
- Diagnosis is CLINICAL
* MRI brain scan if there is uncertainty over the cause
7
Q
red flags for trigeminal neuralgia?
A
o Sensory changes o Deadness o Family history of MS o Optic neuritis o Age onset before 40 o Skin lesions
