Parasuraman, faculty of pharmacy, aimst university. Trigeminal neuralgia usually affects one side of the face. Pdf advances in diagnostic modalities have improved the understanding of the. Neuralgia definition neuralgia is defined as an intense burning or stabbing pain caused by irritation of or damage to a nerve. Trigeminal neuralgia tn, also called tic douloureux, is a condition that is characterized by intermittent, shooting pain in the face.
Various treatment methods exist, from medical treatment to open surgical procedures. Save powerpoint presentations as pdf files office support. Glossopharyngeal neuralgia tends to cause pain in the back of your throat or tongue. People can view the slides even if they dont have powerpoint, but they cant make changes to it. Tn clinical features tn tic douloureux remains a clinical diagnosis it presents as episodic, recurrent unilateral face pain, describes a sudden, highintensity jab, or electric shock last only few seconds, but may occur in volleys. Typically, the neuralgia is confined to a dermatomic area of. Trigeminal neuralgia tn, also known as tic douloureux, is a distinctive facial pain syndrome that may become recurrent and chronic. Although trigeminal neuralgia is well known to neurologists, recent developments in classification and clinical diagnosis, new mri methods, and a debate about surgical options necessitate an update on the topic. It often feels as if it is shooting along the course of the affected nerve. Trigeminal neuralgia an overview sciencedirect topics.
Occipital neuralgia is defined by the international headache society as paroxysmal shooting or stabbing pain in the dermatomes of the greater or lesser occipital nerve. Neuralgia may result in acute pain in a specific area of the body. Postherpetic neuralgia germany pdf ppt case reports. Sphenopalatine neuralgia has been given a number of names, including lower half headache, greater superficial neuralgia, sluders neuralgia, and atypical facial pain. Cranial neuralgias, central and primary facial pain and other headaches. The facial pain occurs daily and persists throughout the day. Trigeminal neuralgia dr shabeel pn slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising. Trigeminal neuralgiapathophysiology, diagnosis and. Pdf the neuralgias are characterized by pain in the distribution of a cranial or cervical nerve. The inter costal nerve n runs along the inferior rib with the artery a and vein v. Neuralgia definition of neuralgia by medical dictionary. Page 1 homoeopathic management in gynecological disorders dr.
The prolonged latency between the onset of symptoms and diagnosis suggests that there should be an increased. The nerve may be anywhere in the body, but its most common in the face and neck. These interventions provide longer duration of pain relief. Trigeminal neuralgia is the most common and usually causes pain on one side of your face. Headache lbp free download as powerpoint presentation.
Cranial neuralgias and central causes of facial pain 126 14. Meralgia paresthetica is the term used to describe the clinical syndrome of pain, dysesthesia, or both in. Postherpetic neuralgia israel pdf ppt case reports symptoms. The symptoms can be mistaken for migraines, dental problems such as temporomandibular joint disorder, musculoskeletal issues, and hypochondriasis. Trigeminal neuralgiapathophysiology, diagnosis and current.
This pain can range from a steady burning to a pricking or electric shock sensation. Theyll give your presentations a professional, memorable appearance the kind of sophisticated look that todays audiences expect. If you continue browsing the site, you agree to the use of cookies on this website. Local injection with corticosteroid can improve symptoms, though generally only temporarily.
Trigeminal neuralgia tn is one of the most excruciating pain. In some cases it can affect both sides, although not usually at the same time. Cranial neuralgias, central and primary facial pain, other headaches. Occipital neuralgia is an uncommon disorder in the sample explored. Click create pdf xps document, then click create pdf xps. Trigeminal neuralgia and persistent idiopathic facial pain. Aetiology and pathogenesis of trigeminal neuralgia. The neuralgias are characterized by pain in the distribution of a cranial or cervical nerve.
Neuralgias are characterised by stabs of short lasting, lancinating pain, and, although neuralgias are. Trigeminal neuralgia trigeminal neuralgia tn is a condition that causes repeated recurring severe pains in parts of your face. We propose an approach based on history and neurological examination, which allows a working diagnosis to be made at the bedside, including aetiological hypotheses, leading to a choice of investigations. It usually occurs in sudden short attacks lasting from a few seconds to about two minutes, which stop just as abruptly.
The pain can be in the teeth, lower jaw, upper jaw or cheek. The international classification of headache disorders. Postherpetic neuralgia is a nerve pain due to damage caused by the varicella zoster virus. Worlds best powerpoint templates crystalgraphics offers more powerpoint templates than anyone else in the world, with over 4 million to choose from. Headache classification committee of the international.
Powerpoint presentation ppt of trigeminal neuralgia an informative powerpoint presentation on the causes and effects of trigeminal neuralgia. Neuralgia is a painful condition caused by damage to the peripheral nervous system. Headache lbp headache skull free 30day trial scribd. Therefore, an understanding of the clinical presentation, diagnosis, and management of neuropathic orofacial pain is essential since some patients will convincingly express this pain to be originating. The pain can be distressing and affect quality of life. Argoff md, in pain management secrets third edition, 2009. When you save presentation as a pdf file it freezes the formatting and layout. Meralgia paresthetica lateral femoral cutaneous nerve. In the publish as pdf or xps dialog box, choose a location to save the file to. Also known for his descriptions of migraine, he makes reference to a pain in which spasm and distortion of the countenance take place. Neuralgia neuralgia is a stabbing, burning, and often quite severe pain that occurs along a damaged nerve. Trigeminal neuralgia is a sudden, severe facial pain, described as sharp, shooting or like an electric shock. Currently, a worldwide controversy exists regarding the classification, diagnostic process, and surgical treatment of trigeminal neuralgia.
Honor society of nursing stti there are four main types of neuralgia. The aanefns trigeminal neuralgia treatment management. Ppt trigeminal neuralgia powerpoint presentation free. Current concepts in the medical management world journal of dentistry, apriljune 2010. The key clinical features include unilateral pain in the. Most of them are named after the nerve they affect. Ichd iir and classification of primary headaches morris levin, md associate professor of medicine neurology. Neuralgia is a stabbing, burning, and often severe pain due to an irritated or damaged nerve. Patients in whom carbamazepine is contraindicated clonazepam can be used. Trigeminal neuralgia physical therapy treatment approach. Dental practitioners will be exposed to patients experiencing neuropathic pain of the orofacial region at some point in their careers. Less commonly the pain can also be in the forehead or eye. Atypical trigeminal neuralgia atn is a rare form of neuralgia and may also be the most misdiagnosed form.
Trigeminal neuralgia tn is a syndrome of intermittent facial pain. Michael karegeannes, pt, mhsc, lat, mtc,cfc, cctt, cmtpt is the owner of freedom physical therapy services in wi and is one of the few physical therapists in the united states recognized as a certified cervical and temporomandibular therapist with the aaop and ptbctt. Neuralgia is a sharp, shocking pain that follows the path of a nerve and is due to irritation or damage to the nerve. Postherptic neuralgia pain that continues after a bout of shingles trigeminal neuralgia stabbing or electricshocklike pain in parts of the face. The first known description of trigeminal neuralgia tgn, or a similar condition, was written in the second century ad by aretaeus of cappadocia, a contemporary of galen. Atn can have a wide range of symptoms and the pain can fluctuate in intensity from mild aching to a crushing or burning sensation, and also to. Trigeminal neuralgia defined as sudden, usually unilateral,severe, brief, stabbing, recurrent episodes of pain with in the distribution of one or more branches of the trigeminal nerve. While most often brief, severe, and paroxysmal, continuous neuropathic pain may occur. It is characterized by unilateral pain following the sensory distribution of cranial nerve v typically radiating to the maxillary or mandibular area in 35% of affected patients and is often accompanied by a b. The lateral femoral cutaneous nerve, a pure sensory nerve, is susceptible to compression as it courses from the lumbosacral plexus, through the abdominal cavity, under the inguinal ligament, and into the subcutaneous tissue of the thigh. Generally, it is limited to one particular area on one side of the face at disease onset, is deep and poorly localized, and is not associated with sensory loss or other neurological deficits. Description different types of neuralgia occur depending on the reason the nerve has been irritated. Homeopathy can offer good health to women in all stages of their lives from infancy through old age. Differential diagnosis of pain in the face as the presenting complaint can be difficult.
Types of neuralgia postherpetic neuralgia phn trigeminal neuralgia glossopharyngeal neuralgia swimmers headache. The term neuralgia refers to a combination of two words neuro meaning relating to nerves and algesia meaning sensitivity to pain. A clinical presentation with brief attacks of strict unilat eral shocklike pain within trigeminal areas and the pres ence of typical trigger areas makes this. Cranial neuralgias iris universita degli studi di napoli federico ii.