TRIGEMINAL NEURALGIA & BELL'S PALSY

Question 1

aka as Tic Douloureux

Answer 1

Trigeminal Neuralgia

Question 2

What cranial nerve is the Trigeminal Neuralgia

Answer 2

Fifth Cranial Nerve

Question 3

What is trigeminal neuralgia?

Answer 3

Paroxysms of pain in the area innervated by the 2nd and 3rd branches of the trigeminal nerve

Question 4

What is Trigeminal Neuralgia?

Answer 4

-aka as Tic Douloureux
-fifth cranial nerve
- Paroxysms of pain in the area innervated by the 2nd and 3rd branches of the trigeminal nerve

Question 5

Causes of Trigeminal Neuralgia

Answer 5

-Stimulation of the trigger points
** -Washing face
-Shaving
-Brushing the teeth
-Eating
-Drinking**

-draft of cold air
- direct pressure

Question 6

Diagnostic of Trigeminal Neuralgia

Answer 6

MRI

Question 7

Clinical Manifestations of Trigeminal Neuralgia

Answer 7

-Unilateral pain
-Sudden closing of the eye
- Twitching of the mouth

Question 8

Drug Management for Trigeminal Neuralgia

Answer 8

-Antiseizure agents
-Carbamazepine (Tregretol)
-Gabapentin (Neurontin)

Question 9

What is the mechanism of action of antiseizure?

Answer 9

Reduces transmission of impulses at certain nerve terminals

Question 10

Purpose of the drug Gabapentin (Neurontin)

Answer 10

for pain control

Question 11

Surgical Management of Trigeminal Neuralgia

Answer 11

-Microvascular Decompression
- Percutaneous Balloon Microcompression

Question 12

Relieve the contact between the cerebral vessel and the trigeminal nerve root entry

Answer 12

Microvascular Decompression

Question 13

Disrupts large myelinated fibers in all three branches of the trigeminal nerve

Answer 13

Percutaneous Balloon Microcompression

Question 14

What is Microvascular Decompression?

Answer 14

Relieve the contact between the cerebral vessel and the trigeminal nerve root entry

Question 15

What is Percutaneous Balloon Microcompression?

Answer 15

Disrupts large myelinated fibers in all three branches of the trigeminal nerve

Question 16

Nursing Management of Trigeminal Neuralgia

Answer 16

-Prevent pain by identifying causes of pain
-Perform personal hygiene during pain-free intervals
-instruct patient to chew on the unaffected side post-operatively; aspiration precaution
-give artificial tears

Question 17

aka facial paralysis

Answer 17

Bell’s Palsy

Question 18

Bell’s palsy is also known as?

Answer 18

also known as facial paralysis

Question 19

Unilateral inflammation of the seventh cranial nerve

Answer 19

Bell’s Palsy

Question 20

What is seventh cranial nerve?

Answer 20

Facial Nerve

Question 21

Weakness or paralysis of the facial muscles on the affected side

Answer 21

Bell’s Palsy

Question 22

What is Bell’s Palsy?

Answer 22

-aka facial paralysis
-Unilateral inflammation of the seventh cranial nerve
- weakness or paralysis of the facial muscles on the affected side

Question 23

Etiology of Bell’s Palsy

Answer 23

-Idiopathic
-Vascular ischemia
-Viral disease (herpes simplex, herpes zooster)
-Autoimmune disease

Question 24

What specific viral disease that causes bell’s palsy to occur?

Answer 24

-Herpes simplex
-Herpes zooster

Question 25

Pathophysiology of the Bell's Palsy

Answer 25

-Because of the compression on the facial nerve; cause inflammation -Ischemic necrosis of the nerve

Question 26

Clinical Manifestations of Bell's Palsy

Answer 26

-Facial distortion -Increased lacrimation -Pain in the face, behind the ear, & in the eye - speech difficulties -unable to eat

Question 27

Pain can be felt in the

Answer 27

Pain in the face, behind the ear, & in the eye

Question 28

Medical Management of Bell's Palsy

Answer 28

-Corticosteroids - Electrical stimulation

Question 29

Reduces inflammation & edema

Answer 29

Corticosteroids

Question 30

This is given early to alleviate symptoms fast

Answer 30

Corticosteroids

Question 31

Purpose of Corticosteroids

Answer 31

-Reduces inflammation and edema -Given early to alleviate symptoms fast

Question 32

Purpose of electrical stimulation

Answer 32

Prevents muscle atrophy

Question 33

Nursing Management of Bell's Palsy

Answer 33

-Eye should be covered with a protective shield at night -Apply moisturizing eye drops or eye ointment at bedtime -Wrap around sunglasses or goggles during daytime -Suggest massaging the face several times daily - Encourage facial exercises

Question 34

Why we need to apply moisturizing eye drops or eye ointment at bedtime?

Answer 34

To prevent injury

Question 35

Why we need to wrap-around sunglasses or goggles during daytime

Answer 35

To decrease normal evaporation from the eye

Question 36

Rationale for massaging the face several times daily

Answer 36

to maintain muscle tone

Question 37

What are the examples of facial exercises?

Answer 37

-wrinkling of the forehead -blowing out the cheeks -whistling

Question 38

Why we need to encourage facial exercises?

Answer 38

To prevent muscle atrophy

Question 39

How would you describe the unilateral pain

Answer 39

Pain becomes more frequent and agonizing

Question 40

Pain becomes more frequent and agonizing

Answer 40

Unilateral pain