alexa Trigeminal neuralgia | Japan | PDF | PPT| Case Reports | Symptoms | Treatment

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Trigeminal Neuralgia

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  • Trigeminal neuralgia

    Trigeminal neuralgia, also known as tic douloureux, sometimes is described as the most excruciating pain known to humanity. The pain typically involves the lower face and jaw, although sometimes it affects the area around the nose and above the eye. This intense, stabbing, electric shock-like pain is caused by irritation of the trigeminal nerve, which sends branches to the forehead, cheek and lower jaw. It usually is limited to one side of the face. It is hard to dismiss as insignificant the observations made by numerous neurosurgeons during decompressive surgery that arterial compression of the root at the dorsal root entry zone is the common finding in typical TGN. Similarly, in MS patients suffering from TGN, a common finding is the plaque extending into the dorsal root entry zone.The dorsal root entry zone represents the junction between the peripheral and central myelins of Schwann cells and astrocytes. The central branches of the unipolar ganglion cells enter the pons through this transition zone on their course toward the brainstem and spinal nuclei. Any process at this level can potentially alter the function of the whole neurone. Trigeminal neuralgia is treated on an outpatient basis, unless neurosurgical intervention is required. Management of this condition must be tailored individually, based on the patient's age and general condition. In the case of symptomatic trigeminal neuralgia, adequate treatment is that of its cause, the details of which are out of the scope of this article. Japan people around 798,992 among the total population are suffering from this disease that is 1.28% of the population effected.

  • Trigeminal neuralgia

    Trigeminal neuralgia, also known as tic douloureux, sometimes is described as the most excruciating pain known to humanity. The pain typically involves the lower face and jaw, although sometimes it affects the area around the nose and above the eye. This intense, stabbing, electric shock-like pain is caused by irritation of the trigeminal nerve, which sends branches to the forehead, cheek and lower jaw. It usually is limited to one side of the face. It is hard to dismiss as insignificant the observations made by numerous neurosurgeons during decompressive surgery that arterial compression of the root at the dorsal root entry zone is the common finding in typical TGN. Similarly, in MS patients suffering from TGN, a common finding is the plaque extending into the dorsal root entry zone.The dorsal root entry zone represents the junction between the peripheral and central myelins of Schwann cells and astrocytes. The central branches of the unipolar ganglion cells enter the pons through this transition zone on their course toward the brainstem and spinal nuclei. Any process at this level can potentially alter the function of the whole neurone. Trigeminal neuralgia is treated on an outpatient basis, unless neurosurgical intervention is required. Management of this condition must be tailored individually, based on the patient's age and general condition. In the case of symptomatic trigeminal neuralgia, adequate treatment is that of its cause, the details of which are out of the scope of this article. Japan people around 798,992 among the total population are suffering from this disease that is 1.28% of the population effected.

 

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