Behavior during the attack of trigeminal neuralgia is very typical. The patient can neither scream nor cry, he freezes in that position, in which he caught his attack, trying to survive a nightmarish pain. Sometimes he rubs the zone of pain or makes characteristic smoking movements. I am answering the questions, I barely open the mouth. Pulmonizing facial muscles.
Prevalence of neuralgia of triple nerve rather wide. It is up to 30 - 50 patients per 100,000 population.
- Flashing processes after injury, infections,
- Expansion of convolves cerebellary arteries, veins,
- Aneurysm main artery.
The development of the disease may be due to various vascular, endocrine-exchange, allergic disorders, as well as psychogenic factors.
What can cause attack of trigeminal neuralgia? It may be a light touch, blow breeze, wash, conversation, food, teeth cleaning, shaving. Sometimes the so-called «Ladder syndrome». He lies in the fact that if the patient stumbled, walking along the steps or just on an uneven surface, he instantly occurs an attack.
Unfortunately, to fully cure the neuralgia of a trigeminal nerve can not. This is a chronic disease that consists of alternating attacks and remission. The dealing task in the treatment is to make periods of remission as long as possible.
Medical method is, first of all, anticonvulsant drugs. Equally important meaning of neuroleptics, antidepressants, tranquilizers.
The physiotherapy method is an acupuncture, pharmacopuncture (introduction to bioactive drugs of drugs), laser support, the use of low voltage and low frequency pulsed and low frequency currents, magnetic and electromagnetic fields, infrared and ultraviolet radiation, ultrasound, medicinal electrophoresis.
Surgical method - operational methods of treatment of neuralgia of triple nerve numbered a large number. It can be the separation of the root of the nerve and squeezing its vessel; Intersection of individual large branches of trigeminal nerve, destruction of pain fibers in the root of the nerve. The choice of surgical tactics depends on the state of the patient.
As a rule, at the initial stage of the disease, drugs are recommended by drug and physiotherapy, trigeminal nerve blocks. Neurosurgical treatment methods are shown only after the absence of the effect of the above treatment methods.