What exactly causes trigeminal neuralgia

About half of patients with trigeminal neuralgia have one or more unusually sensitive "trigger points" on their faces, which can vibrate and cause pain and sadness to radiate all over the body if they don't pay attention to it. The location and size of people's "trigger points" are different, and even as small as a dot or a hair, most of which are divided into lips, nose, cheeks, mouth, tongue and eyes. At the same time, weather changes are also a common cause of trigeminal neuralgia, which can be aggravated by wind or hot and cold.

Trigeminal neuralgia must be timely, and a good method must be chosen when it is timely.

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From the onset of cases, trigeminal neuralgia is mostly due to trigeminal nerve compression, resulting in facial pain; Causes of nerve compression include:

1. The trigeminal nerve is close to the blood vessels, and the symptoms appear due to its compression.

2. Secondary damage to the trigeminal nerve caused by tumor, trauma or inflammation.

Trigeminal neuralgia is the first choice of drugs, and those who do not respond well to drugs can choose minimally invasive or surgical**.

Minimally invasive surgery is mainly microvascular decompression, which uses cotton pads to separate blood vessels from nerves to relieve clinical symptoms.

If you want to be completely mentally ill, you need to go to the local regular psychiatric hospital for relevant examinations and symptoms**, it is not necessary to have a craniotomy, you can take drugs or psychological ** to alleviate the current mental illness, it is recommended that you should be able to treat the symptoms according to the doctor's instructions and be able to take drugs appropriately.

Trigeminal neuralgia is a kind of reversible throbbing pain of the face, also known as "cramps", which belongs to radicular pain and is more common in middle-aged and elderly people. Those with clear causes are called secondary trigeminal neuralgia, and those with unknown causes are called primary trigeminal neuralgia.

According to clinical practice and research, it has been found that various lesions (changes) in the part of the trigeminal nervous system or adjacent parts can cause trigeminal neuralgia. For secondary trigeminal neuralgia, the most common tumors are intracranial and skull base tumors (mainly tumors near cerebellar pons, trigeminal nerve roots, or semilunar nodes), vascular malformations (aneurysms), thickened arachnoid adhesions, multiple sclerosis, etc. Brain tumors are found in only 1% to 5% of patients with trigeminal neuralgia, with acoustic neuroma being the most common.

There is no satisfactory explanation for the development of primary trigeminal neuralgia, and it is generally believed to be caused by vascular compression; Some pathologists and dentists believe that trigeminal neuralgia may be due to slow tooth loss; Some scholars believe that the onset of trigeminal neuralgia is involved in the central mechanism, and the retrograde activity of the trigeminal nerve may change the electrophysiological activity of the trigeminal nerve.

In addition, trigeminal neuralgia also has various triggers, such as drinking hot and cold water, blowing nose, brushing teeth, washing face, shaving, combing hair, coughing, breezy face, etc.

The ** of trigeminal neuralgia is not well understood, but the details are as follows:

1. Trigeminal nerve root vascular compression: accounting for more than 80%, blood vessels compress the trigeminal nerve, resulting in demyelinating lesions, and microvascular decompression surgery can be performed;

2. Cerebellopontine angle tumors: common acoustic neuroma, trigeminal schwannoma, cholesteatoma, etc.;

3. Other reasons: relatively few.

Once trigeminal neuralgia is suspected, CT and MR examinations should be performed, and microvascular decompression surgery is recommended for those with clear responsibility for vascular compression, and drugs, radiofrequency, and gamma knife may be considered if there is no clear indication for surgery.

Trigeminal neuralgia is generally characterized by paroxysmal, transient, and severe pain, and trigeminal neuralgia is divided into primary trigeminal neuralgia and secondary trigeminal neuralgia. In the case of secondary trigeminal neuralgia, there is generally a clear **, most of which are compressed by tumors and metastases at the base of the skull or cerebellar angle, meningitis, etc., and some are the trigeminal nerve invaded by brainstem infarction and multiple sclerosis.