Diagnosis and Treatment of Trigeminal Neuralgia
Diagnosis and Treatment of Trigeminal Neuralgia
Movassaghi. R,MD Dept of Anesthesiology, Medical Faculty of Tabriz University
Anatomy of the Trigeminal Nerve
Trigeminal Neuralgia
?Intense , sharp, shock like pain in abrupt intense paroxysms ?Provocation by minimal stimulus ?Always unilateral ?Confined to the branches of the nerve ?Painless intervals ?Incidence;2.7-5/100.000 ?After the 4th-5th decade, ?women/men:3/2
Trigeminal Neuralgia
?Idiopathic ?Secondary
?brain tumours ?multiple sclerosis ?vascular compression ?arachnoiditis ?aneurism- a-v malformation
Causes of pain
?Intrinsic and extrinsic lesions ?arteriovenous malformations ?gross abnormalities of axons and their myelin sheaths
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