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Primary trigeminal neuralgia
1.
PRIMARY TRIGEMINAL NEURALGIA Zheng Dongming Neurology
Ward
2.
I.DEFINITION Primary trigeminal neuralgia refers
to paroxysmal brief severe pain within the distribution of trigeminal nerve,usually without organic disease of the nerve.
3.
II.ETIOLOGY AND PATHOLOGY • Etiology:
unknown • Pathology: no definite conclusion
4.
III.CLINICAL FEATURE 1.sex and
age • Sex:female:male=2:1~3:2 • Age: 70%~80% patients >40 years old
5.
III.CLINICAL FEATURE 2.distribution • any
of the 3 divisions (2,3) • unilateral • marked in cheek,jaw,tongue
6.
III.CLINICAL FEATURE 3.characteristics of
the pain • brief:seconds~2m ins • severe:tic douloureux. • “ Trigger area ” • paroxysmal
7.
III.CLINICAL FEATURE (4)sign No positive
sign
8.
IV.DIAGNOSIS AND DIFFERENTIAL DIAGNOSIS Diagnosis:based
on clinical feature Differential diagnosis:toothache sinusitis nasopharyngeal cancer secondary TN
9.
V.TREATMENT • • • • General treatment:analgesic and
sedative drugs Medicine:carbamazepine,phenytoin,clonozepam Injection of phenol or alcohol Surgery
10.
V.TREATMENT • • • • General treatment:analgesic and
sedative drugs Medicine:carbamazepine,phenytoin,clonozepam Injection of phenol or alcohol Surgery
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