trigeminal neuralgia

Pregunta	Respuesta
diagnosis trigeminal neuralgia	CLINICAL diagnosis (short, repetitive 10x a day, sharp pain, description of triggers and trigger zone) but labs are necessary to exclude symptomatic trigeminal neuralgia
symptomatic trigeminal neuralgia is secondary to	Multiple sclerosis, tumors, aneurysms, chronic meningeal inflamation, amyloid infiltration, arterio-venous malformations, bony compression, small infarcts in Pons and Medulla (
trigeminal neuralgia triggers and trigger zone	trigger : talking, smiling, chewing, brushing teeth, shaving trigger zone = near the nose or mouth
clinical exam in CTN and STN	CTN= normal STN= sensory impairement in trigeminal area LOSS of Corneal reflex (HIGH sensitiviity and specificity) Weakness of fascial muscles
treatment trigeminal neuralgia	Ist line= Carbamazepine (more efficient) and Oxcarbazepine (better safety profile) 2nd line= lamotrigine, baclofen Surgery= open techniques and percutaneuos techniques
trigeminal neuralgia distribution	Right side = More Maxillary branch= the MOST Ophthalmix branch= the least

Resumen del Recurso

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