Prosopalgia

 Prosopalgia

The man, who suffered a trigeminal neuralgia, go to anything, just to never meet with the disease. The main reason for this attitude - severe pain that not only do not give the patient live and bring it to the "last line" and then often followed by a suicide attempt.

Under the trigeminal nerve in medicine refers to pain that spreads along the nerve trunk. In this case, it affects the trigeminal nerve. It originates in the cranial cavity, and then divided into three branches and leaves on the surface of the cheeks, chin and temple. The trigeminal nerve provides the sensitivity of a human face to heat, cold, touch, pain, and other external influences.

Trigeminal neuralgia - the causes of the disease

Severe pain caused by traumatic effects on the nervous trunk, what happens in tumors, tissue scarring, swelling and removal of teeth or the impact of filling materials. In addition, the diagnosis trigeminal neuralgia, symptoms often attributed hypothermia. Provoke the disease can, and some other factors: infections, inflammatory diseases of the oral cavity and paranasal sinuses, metabolic disorders, alcohol abuse. Mainly from trigeminal neuralgia affects people of middle and old age.

Trigeminal neuralgia - symptoms and clinical picture

Usually, the first attack begins in the zone II and III branches (in the nose, cheeks, upper jaw, lower jaw, lips, tongue, Temple). With the I branch (eyebrows, eyes, forehead) trigeminal neuralgia begins much less. The pains are shooting, sharp character, therefore no coincidence that many patients compare them to electric shock. Pain accompanied by involuntary contractions of the facial muscles (tic, convulsions), and seizures can occur due to a variety of reasons - from chewing food to simple movements of the chewing muscles. The process starts touching the so-called trigger points, which are located on the face and the oral mucosa.

Usually attacks do not last long - no more than 1-2 minutes, but because of the strong pain people will remember those moments for the rest of life. Particularly unpleasant that the diagnosis trigeminal treatment may require the patient at any time of the day for at least several weeks.

In some cases the pain does not extend a few minutes and several days. In such cases, doctors say about neurological diseases.

Trigeminal neuralgia - Treatment and prognosis

 Treatment of trigeminal neuralgia

Pronounced symptoms of trigeminal neuralgia, in particular - the pain and facial cuts stoped using anticonvulsants, sedatives and painkillers. Almost always used nerve block - the introduction of prescribed funds directly to the nerve. Take the medicine should be under constant supervision of a doctor, since many of them eventually lose their effectiveness and are demanding a higher dosage. Over time, a person starts the physical layer dependent on drugs. The desire to reduce the intensity of pain is understandable, because in the diagnosis of trigeminal neuralgia symptoms are really very bright. However, patients and their relatives should be aware of the harmful effects of uncontrolled receiving painkillers and to recognize the stage of physical addiction.

Besides medicines patients are assigned:

  • physiotherapy (UHF, ultrasound, electrophoresis of novocaine, diadynamic currents);
  • reflexology;
  • electrical stimulation of the trigeminal nerve endings affected.

If all the above measures do not lead to the expected result, doctors decide on surgery. Operations are divided into 2 types:

  • interruption of the sensitive nerve root directly into the cranial cavity. The destruction of nerve fibers is conducted differently. In most cases, the diagnosis of trigeminal neuralgia treatment involves the use of a laser or impact of electric shocks. The methodology of the operation worked through. It does not cause serious complications and is done under local anesthesia;
  • When the nerve is squeezed from all sides of the blood vessels, it is advisable to carry out a large neurosurgery decompression of the trigeminal nerve. In such cases, surgery is more traumatic and therefore performed under general anesthesia.

Prediction of treatment depends on the cause. Trigeminal neuralgia, symptoms of which were caused by injuries respond well to treatment and has no recurrence. This is especially true for young people. Much worse prognosis of the disease, provoked violations metabolic processes, such as trigeminal neuralgia difficult to treat.





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