Please enable JavaScript.

Coggle requires JavaScript to display documents.

SURGERY : NEURO 1 - Coggle Diagram

- - - - TRIGEMINAL
        
        ESSENTIAL = idiopathic
        
        2nd, 3rd
        
        MOST INTENSE PAIN KNOWN :red_flag: :warning:
        
        Unilateral
        
        Electric shock : Paroxysms
        
        Last SECONDS
        
        Trigger zones
        
        CHRONIC with Acalmia periods
        
        More F 50-60Y
        
        SYMPTOMATIC
        
        F = M Any age
        
        UNI & BILATERAL
        
        Very intense Pain but < Essential
        
        1min
        
        No trigger point
        
        RARELY respond to drugs
        
        Complementary test
        
        ALWAYS rule out dental origin : If it is not dental, reffers to neurologist
        
        X-ray ortho / craniofacial / skull base / spine
        
        MRI associated angiography or not
        
        TT
        
        Anticonvulsant = CARBAMAZEPINE
        
        Muscle relaxant = BACLOFEN
        
        5mg/8h associated carbamazepine
        
        NOT in renal problems :red_cross:
        
        SURGICAL = Radiofrequency ganglionolysis
        
        DONE BY SURGON
        
        Anticomantibio
        
        PHENYTOIN
        
        100mg/12h associated carbamazepine
        
        side effect gingiva elargement :red_cross:
        
        VALPROIC Acid ?
        
        800mg / day if other fail
        
        CARBAMAZEPINE
        
        100mg/12h
        
        side effects
      - GLOSSOPHARYNGEAL
        
        ESSENTIAL
        
        Difficult feeding + swallowing
        
        Sometimes associated Trigeminal Neuralgia
        
        ABRUPT Onset
        
        LAST minutes (<10min)
        
        YES Trigger
        
        HIGH intensity but < Trigeminal essential N
        
        Acalmia
        
        SYMPTOMATIC
        
        Regional anesthesia
        
        Dysgeusia = Distortion sens of taste
        
        Pharyngeal Paralysis
        
        SLOW onset
        
        10min
        
        NO trigger
        
        NO acalmia
        
        HIGH intensity (< than ESSENTIAL N)
    - - ARNOLD'S NEURALGIA
      - SPHENOPALATINE GANGLION NEURALGIA = SLUDER's Syndrome
        
        Pain internal corner eye, floor orbit, palate
        
        Sensation ear obstruction
        
        Red Conjunctiva
        
        Edema Nasal mucosa
        
        Very Intense
        
        < 10min
      - WRISBERG'S INTERMEDIATE
        
        ESSENTIAL = Pain external Auditory Canal, Neck, Soft palate, Mastoid
        
        SYMPTOMATIC = HERPES Zoster Geniculate Ganglion
      - Pterygomaxillary fossa Syndrome
      - Upper Laryngeal Neuralgia
      - Pterygoid process Syndrome
    - - Burning and worse with mvt
      - Persists affected by ZONA (Shingles)
      - DIFFICULT TO TREAT : Importance of Shingles TT in elderly
        
        CARBAMAZEPINE , TRICYCLICS