Trigeminal neuralgia

Trigeminal neuralgia👉 > 50. F > M. ğŸ‘‰ 5th CN : facial sensory / motor ğŸ‘‰Trigeminal neuralgia: Sudden,severe stabbing/ jabbing / lancinating / electric shock like pain, ğŸ‘‰2, 3rd div, Unilateral, lasting seconds to few minutes. Multiple episodes lasting for hours. ğŸ‘‰Aggravated by any touch, cold wind draft, jaw movement. ğŸ‘‰ Causes80% SCA superior cerebellar a wrapped around the nerve exiting the brain stem. Others : Dental abscess, TMJ, strokes, multiple sclerosis, trauma, tumor, AV malformation, Temporal arthritis, post herpetic neuralgia, glossopharyngeal neuralgia.
💊Medical:  Meds: carbamazepine, ox carbamazepine, Baclofen, Lamotrigine, Phenytoin, gabapentin, Pregablin, amitriptyline, Pimozide, Clonazepine, Lidocaine, Duloxetine 
✂️Surgical option if meds failed: 👉Microvascular decompression : 75% effective, complicated with facial numbness. Prevents further myelin sheath damage. For all three Branches 👉Radiofrequency thermocoagulation Rhizotomy: damage the nerve. No GA gen anesthesia needed. 👉Steriotactic radiosurgery: focal radiation therapy. No GA needed. 👉Percutaneous needle / catheter : damaging area where nerve branches. Done in elderly, poor surgical candidate. 👉Baloon compression: inflating damaging the nerve. 👉Glycerol injection. 
Adds are splitting the write up so I made this pic.
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