Behavior during the attack of trigeminalneuralgia is very typical. The patient can neither scream nor cry, he stops in the position in which it found the attack, trying to survive the dreadful pain. Sometimes he rubs the area of pain or characteristic makes smacking movement. Questions answered sparingly, barely opening his mouth. It happens twitching of facial muscles.
Prevalence of trigeminal neuralgia is quite wide. It is up to 30 - 50 patients per 100 000 population.
- adhesions after injury, infection,
- expansion convoluted cerebellar arteries, veins,
- aneurysm of the basilar artery.
The development of the disease can be caused by various vascular, endocrine and metabolic, allergic disorders, and psychogenic factors.
What can cause an attack of trigeminalneuralgia? This can be a light touch, a breath of wind, washing, talking, eating, brushing teeth, shaving faces. Sometimes there is a so-called "ladder syndrome". It lies in the fact that if the patient is tripped as he walked up the stairs or just on a rough surface, it instantly attack occurs.
Unfortunately, completely cure neuralgiatrigeminal nerve is impossible. It is a chronic disease that consists of alternating episodes and remissions. Founded challenge in the treatment - to make periods of remission as long as possible.
Medical technique - is, first and foremost, anticonvulsants. Equally important are neuroleptics, antidepressants, tranquilizers.
Physiotherapy method - it is acupuncture,pharmacopuncture (introduction to bioactive points medications), laser puncture, the use of pulsed currents of low voltage and low frequency, magnetic and electromagnetic fields, infrared and ultraviolet radiation, ultrasound, electrophoresis of drugs.
The surgical technique - surgical treatmentstrigeminal neuralgia, there are a large number. This separation may be nerve root and squeezing its receptacle; crossing some large branches of the trigeminal nerve, the destruction of pain fibers in the nerve roots. The choice of surgical technique depends on the patient's condition.
As a general rule, at the initial stage of the diseaseRecommended patient medication and physical therapy, blockade of the trigeminal nerve. Neurosurgical treatments are shown only after an absence of effect of the above treatments.