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The pain is usually constant, described as aching or burning, and often affects both sides of the face (this is almost never the case in patients with trigeminal neuralgia). The pain frequently involves areas of the head, face, and neck that are outside the sensory territories that are supplied by the trigeminal nerve.
This disorder is characterized by episodes of severe facial pain along the trigeminal nerve divisions. The trigeminal nerve is a paired cranial nerve that has three major branches: the ophthalmic nerve (V 1), the maxillary nerve (V 2), and the mandibular nerve (V 3). One, two, or all three branches of the nerve may be affected.
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“She’s in shock, she’s trying to navigate her emotions . . . and needing to process with somebody who really understands the pain she’s feeling,” she said.
The pain is described as constant, burning, aching or severe. It can be a side effect of surgery involving any part of the trigeminal system, and occurs after 1–4% of peripheral surgery for trigeminal neuralgia. No effective medical therapy has yet been found. Several surgical techniques have been tried, with modest or mixed results.
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Each attack can last from five seconds to six minutes and may occur up to 200 times daily. TACs are caused by activation of the autonomic nervous system of the trigeminal nerve in the face. As of 2015 about 50 cases have been described in the medical literature. [1] Onset of the symptoms usually come later in life, at an average age of about 50.