Find information on medical topics, symptoms, drugs, procedures, news and more, written in everyday language. See also Overview of the Cranial Nerves. Trigeminal neuralgia is severe facial pain due to malfunction of the 5th cranial nerve trigeminal nerve. This nerve carries sensory information from the face to the brain and controls the muscles involved in chewing.
People have repeated short, lightning-like bursts of excruciating stabbing pain in the lower part of the face. Certain anticonvulsants, certain antidepressants, or baclofenmay relieve the pain, but surgery is sometimes needed. Trigeminal neuralgia usually occurs in middle-aged and older people, although it can affect adults of all ages.
It is more common among women. An abnormally positioned artery that compresses the trigeminal nerve near where it exits the brain. Occasionally in younger people, trigeminal neuralgia results from nerve "Facial paralysis and neuralgia" due to multiple sclerosis. Rarely, trigeminal neuralgia results from damage due to compression by a tumor, an abnormal connection between arteries and veins arteriovenous malformationor a bulge aneurysm an artery supplying a nerve near the brain.
Pain due to 4th cranial nerve palsy can occur spontaneously but is often by touching a particular spot called a trigger point on the face, lips, or tongue or by an action such as brushing the teeth or chewing.
Repeated short, lightning-like bursts of excruciating stabbing pain can be felt in any part of the lower portion of the face but are most often felt in the cheek next to the nose or in the jaw.
Usually, only one side of the face is affected. Recurring as often as times a day, Facial paralysis and neuralgia pain can be incapacitating.
Because the pain is intense, people tend to wince, and thus the disorder is sometimes called a tic. The disorder commonly Facial paralysis and neuralgia on its own, but bouts of the disorder often recur after a long pain-free interval. Although no specific test exists for identifying trigeminal neuralgia, its characteristic pain usually makes it easy for doctors to diagnose. However, doctors must distinguish trigeminal neuralgia from other possible causes of facial pain, such as disorders of the jaw, teeth, or sinuses and trigeminal neuropathy which is often due to compression of the trigeminal nerve caused by a tumor, stroke, an aneurysm, or multiple sclerosis.
Other trigeminal nerve disorders can be distinguished because they cause loss of sensation and often weakness in parts of the face, and trigeminal neuralgia does not. Because the bouts of pain are brief and recurrent, typical analgesics are not usually helpful, but other drugs, especially certain anticonvulsants which stabilize nerve membranesmay help. The anticonvulsant carbamazepine is usually tried first. Oxcarbazepinegabapentinor phenytoinalso anticonvulsants, may be prescribed if carbamazepine is ineffective or has intolerable side effects.
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