Trigeminal Neurologia

Question 1

Trigeminal Neurolgia what is it?

Answer 1

• Facial pain that is involving spasms of the face
• Provoked by minimal stimulation
• Affects unilaterally

Question 2

Causes

Answer 2

• Herpes
• compression of bvs
• infection of teeth and jaw

Question 3

S/s

Answer 3

• Sharp knife like pain upeer and lower jaw and lips
• pain aggravated by eating
  hot or cold drinking, face washing, teeth brushing
  -Severe muscle spasm

Question 4

Dx for Trigeminal

Answer 4

• History
• Physical
• CT Scan
  -EMG
• MRI

Question 5

Tx for Trigeminal Neurologia

Answer 5

Drug therapy: Antileisure drugs (Carbamazepine) First line!
- Pain meds: Baclofen and lamotrigine
- Nerve blocking
- Rhizotomy
- Microvascular decompression (relocation)

Question 6

Nursing Care

Answer 6

• Avoid triggers
• Avoid chewing on affect side
• Glycerol injection on affected side
• Room temp should be moderate
• Maintain hygiene and soft clothes
• Communication methods