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TRIGEMINAL NEURALGIA (Effects (Usually only one or both of the maxillary…
TRIGEMINAL NEURALGIA
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Sensations of touch and pain to the brain, from your face, teeth, and mouth. Also controls the muscles used in chewing, tears, and production of saliva.
It is uncommon, about 20 people in 100,000 develop it each year.
Mainly affects older people, usually starting in 60s or 70s.
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Clinical Presentations
Severe pain usually around cheek or jaw, or both, as these are the most commonly affected.
The pain is often described as stabbing - like electric shocks, piecing, or knife-like. Usually lasts a few seconds, but can last up to two minutes.
Effects
Usually only one or both of the maxillary and mandibular branches are affected by trigeminal neuralgia.
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Complications Can lead to poor diet, weigh loss, or poor mouth hygiene as completing such tasks can trigger a painful episode
Pathophysiology
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Much more rarely, it could be a symptom of another condition such as a tumour, multiple sclerosis, or abnormality at the base of the brain.
In some cases, the cause is unknown.
Treatments
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If medications are not effective, alternative treatments such as surgery may be considered.
Decompression surgery This operation is the best chance of long-term relief of symptoms. However, this is a major operation involving brain surgery to allow access to the root of the nerve in the brain.
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