Trigeminal Neuralgia

Question 1

The Trigeminal Nerve, aka cranial nerve ____, supplies sensation to the face via which 3 branches?

Answer 1

CRANIAL NERVE 5

1. OPTHALMIC - to eye, upper eyelid, forehead
2. MAXILLARY - to lower eyelid, cheek, nostril, upper lip, gum
3. MANDIBULAR - to mandible skin, lower lip, lower gum

Question 2

Name the muscles of mastication, supplied by cranial nerve 5?

Answer 2

MASSETER
\+
TEMPORALIS
\+
LATERAL and MEDIAL PTERYGOID
\+
TENSOR TYMPANI - creates ear drum tension

Question 3

What can cause Trigeminal Neuralgia?

Answer 3

1. NEUROVASCULAR COMPRESSION
2. INHERETENCE - BV formation
3. TUMOR
4. MS
5. INJURY

Question 4

Describe a Trigeminal Neuralgia (aka Tic Doloureux) attack?

Answer 4

STRICTLY UNILATERAL
ELECTRIC SHOCK-LIKE SENSATIONS,
PAIN/DISCOMFORT TURNS TO BURNING, lasting sec to min
FACIAL GRIMACING and UNCONTROLLABLE TWITCHING

Question 5

Is Trigeminal Neuralgia a one time thing?

Answer 5

NO - TN IS CYCLICAL

less than 1/day to more than 12 per hour

Question 6

Where do most of the trigger zones lie for TN?

Answer 6

NOSE or MOUTH

can trigger episode