Trigeminal neuralgia

Overview Trigeminal neuralgia is a condition in which a person experiences intermittent shooting pains within the face. It occurs when there is a disruption of normal function in the trigeminal nerve, which sends electrical impulses of pain, pressure, temperature, and touch to the brain from the jaw, face, gums, and around the eyes. The disruption is caused by compression or damage to the trigeminal nerve, usually due to contact between the nerves and a nearby blood vessel. This contact places pressure upon the nerve, which leads to malfunction and pain. In most cases, the disorder begins as short mild attacks. Over time, these attacks can last longer and become more frequent as well as becoming more painful. Though rare, the pressure may…

Trigeminal neuralgia (TN) is one of the most common medical conditions that causes facial pain. TN is defined by the International Headache Society (IHS) as “unilateral disorder characterized by brief electric shock-like pains, abrupt in onset and termination, and limited to the distribution of one or more divisions of the trigeminal nerve (Oberman, 2010). It is also known as “Tic Doloureux”. The exact cause of TN is still unclear, but the pain is triggered by several factors, such as eating,…

Introduction Trigeminal neuralgia (TN) is a debilitating condition characterized by unilateral stabbing facial pain along the divisions of cranial nerve V. The lifetime prevalence of TN is estimated to be 0.7 per 1,000 people and usually presents between the fourth and seventh decades(1, 2). First line management involves medical therapy, although 10-25% of patients fail to respond to standard medication regimens and some patients may become resistant to medical treatment over time(3, 4). For…

After assessing the skull, the patient face was assessed also. During this physical examination, the patient face was assessing for any abnormally like Bell’s palsy which could cause the cranial nerve VII damage and any asymmetry with the central brain damage. There was no edema around the eyes (periorbital). The normal findings were appropriate to the age, the face was symmetrically intact to the eyebrows, the palpebral fissures, and the nasolabial folds. Pain denied in both sides. If it there…

The most widely accepted theory of pathogenesis of cluster headaches is hypothalamic activation with secondary activation of the trigeminal-autonomic reflex. Compared with the general population, the risk of cluster headache for first-degree relatives is increased by 14- to 39-fold, and for second-degree relatives by 2- to 8-fold (http://www.uptodate.com/contents/cluster-headache-epidemiology-clinical-features-and-diagnosis?source=search_result&search=cluster+headache&selectedTitle=1~57).…

SUNA, otherwise known as "Short-lasting Unilateral Neuralgiform Headache Attacks", is often common in men after the age of 50 years old. This disorder is marked by stabs of moderate to severe throbbing, burning, or piercing pain usually surrounding one side of the head, located explicitly around the eye or temple. The stabbing pain usually peaks through within seconds of the onset and may follow a pattern of increasing and decreasing pain intensity. The SUNA Attacks can usually last up to 4-5…

I am writing to apply for the chair position of the Anesthesiology department at Northwestern University, Feinberg School Medicine. I am currently the section chief for the divisions of Regional Anesthesiology and Acute Pain Management in the anesthesiology department at the Feinberg School of Medicine. Over the last 10 years, I directed these services at the in-patient Feinberg Pavilion and I was instrumental in facilitating a smooth transition of these services to the outpatient Olson Pavilion…

- TMJ Injuries (Needle injection, Bur or Implant perforation, Orthodontic and orthognathic procedures) o Trigeminal nerve innervates the TMJ, majority of the face and neck. o Blood flow to the Ant. 2/3 of the brain via the dura mater - Dental Root Resorption (Orthodontic procedures) o Breakdown or destruction of the root structure of a tooth. o Caused by improper pressure placed on the root surface - Instruments Broken in Canals o Infection/Abscess/Sepsis - Air embolisms o Produced by…

interest may be caused by a variety of causes (C1, C2, …)?’. For instance, an event A and another event C1, if correlated, are expected to related causally, or a pattern. Suppose that there is another event C2 also correlated with A. We can thus infer that C1 and C2 are both candidate causes of the phenomenon from the fact that. The indirect support strategy has to do with the elimination of alternative hypotheses. An example of indirect support is the case where there were several possible…

Carbamazepine (Tegretol) and Phenobarbital (Luminal) belongs to a group of medication called anticonvulsants. Tegretol is prescribed to control epilepsy, prevents facial pan from trigeminal, and act as a mood stabilizer to control mania in patients that have episodes of over activity. The medication decreases the synaptic transmission in the central nervous system affecting the sodium channels in neurons (Deglin, Vallerand, & Sanoski, 2014, p. 265). Similarly, Luminal is prescribed to patients…