Trigeminal neuralgia presentation

1. Submitted by:- A nuradha Bds 3 rd prof Roll no 33 SUBMITTED TO:- DEPARTMENT OF ORAL PATHOLOGY Trigeminal neuralgia

2. CONTENTS 1.TRIGEMINAL NERVE 2.Definition Of trigeminal neuralgia 3.Etiology 4.Clinical features 5.Differential diagnosis 6.Laboratory findings 7.Treatment

3. Trigeminal nerve

4. Trigeminal nerve is fifth cranial nerve. Trigeminal nerve is responsible for sensation in the face and certain motor function such as biting, chewing. Three major branches ophthalmic nerve, maxillary nerve, mandibular nerve

5. Definition :- Trigeminal neuralgia is a neuropathic disorder characterized by episodes of intense pain in the face, originating from the trigeminal nerve

6. synonyms : - 1. Tic doulourex, 2.trifacial neuralgia, 3.fothergill’s disease

7. Factors responsible for Trigeminal neuralgia

8. Compression of blood vessels, especially the superior cerebellar artery occurs Chronic irritation of trigeminal nerve at the root entry zone Increased firing of the afferent or sensory fibres   Trigeminal neuralgia aetiology

9. Clinical features Affected :Older > young >

10. Females > males 3:2 >

11. nerve Involvement : maxillary-60% mandibular-49% ophthalmic-16% all 3 divisions-1% Right side > left side 1.7 : 1

12. pain Unilateral pain Early pain or pretrigeminal neuralgia :-dull,aching,burning. Pain lasts for few seconds to a minute. Aggravates and sufferer have attempted suicide.

13. Trigger zones

14. Differential diagnosis Migraine 2.Sinusitius 3.Costen syndrome 4 .Trigeminal neuropathy 5.trotter’s syndrome 6.Post herpetic neuralgia

15. migraine sinusitis Trotter’s syndrome

16. Post herpetic neuralgia Trigeminal neuropathy Costen syndrome

17. Laboratory findings Elective MRI

18. Treatment 1.PERIPHERAL NEURECTOMY 2.MEDICINE :- a. PHENYTOIN (DILANTIN) b . CARBAMAZEPINE ( TEGRETOL ) 3.MICROSURGICAL DECOMPRESSION OF TRIGEMINAL ROOT 4.Injection of boiling water in gasserian ganglion

19. Thank you