22800799
Descrição
FlashCards por nonya buisness, atualizado more than 1 year ago
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Criado por nonya buisness
mais de 4 anos atrás
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| Questão | Responda |
| 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 |
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