Headache: Trigeminal neuralgia Flashcards
1
Q
Defintion
A
Unilateral pain in 1< trigeminal branches
2
Q
Risk factors
A
Multiple sclerosis
Increasing age
Female
3
Q
Triggers
A
Eating
Shaving
Talking
Brushing teeth
4
Q
Symptoms
A
Electric shock pain (seconds - 2 mins) in V1/2/3
Unilateral
Provoked by touch or cold
Some patients experience autonomic symptoms such as:
- lacrimation,
- facial swelling,
- rhinorrhoea
- ptosis
5
Q
Diagnosis
A
Clinical
- 3+ with above symptoms
MRI may be considered
6
Q
Treatment
A
CARBEMAZAPINE
7
Q
Red flag symptoms
A
Age of onset before 40 years
Pain only in the ophthalmic division (eye socket, forehead, and nose), or bilaterally
Sensory changes
Deafness or other ear problems
History of skin or oral lesions that could spread perineurally
Optic neuritis
Family history of multiple sclerosis
