Trigeminal Neuralgia

• Trigeminal Neuralgia is also known as Tic Douloureux.
• Trigeminal Neuralgia

  Impairment of CN 5
• Trigeminal Neuralgia

  3 CN 5: Opthalmic, mandibular, maxillary
• Trigeminal Neuralgia

  Paroxysms - triggers
• Trigeminal Neuralgia

  Paroxysms "OUCH"

  • Oral intake - chewing and drinking
  • Unilateral pain * (1 side only)
  • Cold temperature (exposure)
  • Hygiene - facial wash, brushing, shaving
• Trigeminal Neuralgia

  DX: PE
• Trigeminal Neuralgia

  MNGT:

  1. Avoid triggers
  2. Pharma:

  • Pain - baclofen
  • First line - Anticonvulsant - Carbamazepin (WOF: Agranulocytosis)