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Trigeminal neuralgia (TN or TGN), also called Fothergill disease, tic douloureux, trifacial neuralgia, or suicide disease, is a long-term pain disorder that affects the trigeminal nerve, [7] [1] the nerve responsible for sensation in the face and motor functions such as biting and chewing.
Microvascular decompression (MVD), also known as the Jannetta procedure, [1] is a neurosurgical procedure used to treat trigeminal neuralgia (along with other cranial nerve neuralgias), a pain syndrome characterized by severe episodes of intense facial pain, and hemifacial spasm.
The trigeminal nerve.. ATN is usually attributed to inflammation or demyelination, with increased sensitivity of the trigeminal nerve.These effects are believed to be caused by infection, demyelinating diseases, or compression of the trigeminal nerve (by an impinging vein or artery, a tumor, dental trauma, accidents, or arteriovenous malformation) and are often confused with dental problems.
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trigeminal nerve trigeminal neuralgia; trigeminal sensory neuropathy; numb chin syndrome; numb cheek syndrome; herpes simplex virus infection; facial nerve bell's palsy; bilateral facial palsy; congenital (trauma, Mobius syndrome, cardiofacial syndrome) glossopharyngeal nerve glossopharyngeal neuralgia; glomus jugulare tumor; vagus nerve injury
ICHD 13.1, ICD10 G44.847: Trigeminal neuralgia Glossopharyngeal neuralgia Nervus intermedius neuralgia Superior laryngeal neuralgia Nasociliary neuralgia Supraorbital neuralgia Other terminal branch neuralgias Occipital neuralgia Neck-tongue syndrome External compression headache Cold-stimulus headache
Carbamazepine is most commonly prescribed to treat trigeminal neuralgia due to clinical experience and early clinical trials showing strong efficacy. Gabapentin may reduce symptoms associated with neuropathic pain or fibromyalgia in some people. [26] There is no predictor test to determine if it will be effective for a particular person.
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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