What other symptoms of trigeminal neuralgia are there besides pain?

In addition to pain, trigeminal neuralgia also has itching, foreign body sensation, abnormal temperature sensation, abnormal touch sensation, ant walking sensation, and the feeling that there is a bug running in it. stiff 'hair plate', etc.

Clinically, through the **postherpetic neuralgia**, it was found that trigeminal neuralgia is the disease of postherpetic neuralgia in the head and face without herpes, after a variety of methods are ineffective, it is recommended to use the **, the fast and safe effect is very good, the **period and ** period of time need to be strictly taboo, after the ** period will generally not appear aggravated symptoms, but it is difficult for individual patients in the eyes. The forehead, nose, teeth, cheeks, temples and other parts are simple, but the difficulty around the eyes is slightly greater. If a variety of methods are ineffective, and the pain is severe and unbearable, you can come to talk to the patient in ** about the effect.

Trigeminal neuralgia has some common names, and is often referred to by many people as the first pain in the world. So the first pain in the world, its pain value is very high, that is, the pain is indeed very fatal, and the fatal pain is a common name. It has several simple characteristics, the first is episodic, that is, there may be triggers, for example, there is a simple action, you touch a specific part of the face, this part may be the corner of the mouth on one side, the nose on one side, or the angle of the jaw on one side, when you touch this place, there will be a sudden tear without any aura of this lightning or knife-like sharp pain.

This kind of severe pain often causes the patient to suddenly stop all movements, cover his face, dare not speak or eat, and suddenly pause, this kind of attack often lasts for a very short time, in the early stage it may be one or two seconds, two or three seconds have passed, and when the attack stops, the patient completely becomes a normal state. Of course, he has some triggers, such as talking too much, or the cold and blowing on his face, or eating, or brushing his teeth, then these actions may be induced, which are some of the characteristics of a trigeminal neuralgia attack.

Primary trigeminal neuralgia** is not fully understood, and it is speculated that the pathogenesis has two theories, namely the peripheral theory and the central theory, depending on the part and cause of the lesion. Secondary trigeminal neuralgia is caused by organic lesions inside and outside the brain, such as tumors, inflammation, trauma, and vascular malformation compression of adjacent pontine cerebellar angles.

First, the main **.

1. Primary trigeminal neuralgia: The peripheral theory believes that the lesion is located in the part between the semilunar ganglion and the pons, which is caused by compression caused by various reasons. The central theory is that trigeminal neuralgia is a sensory seizure in which abnormal discharges may be located in the trigeminal spinal tract nucleus or brainstem.

2. Secondary trigeminal neuralgia: such as pontine cerebellar angle tumor, skull base nasopharyngeal carcinoma, inflammation, trauma, and vascular malformation compressing the trigeminal nerve, it can also cause trigeminal neuralgia.

2. Predisposing factors.

1. The trigeminal nerve may be damaged during dental or surgical procedures.

2. Genetic factors, such as genetic abnormalities, may induce the disease.

3. The disease will also be induced when the mental pressure caused by divorce and the death of a loved one is high.

4. Abnormal immune function caused by certain factors will also cause the disease.

We divide trigeminal neuralgia into three branches.

The first one is on our upper forehead, such as the eyelids and temples.

The second branch is in the nasolabial folds, such as the Yingxiang acupoint, the zygomatic acupoint, and the zygomatic part.

The third part is in the lips and jaw, and pain is predominant.

Trigeminal neuralgia may have a lightning-like and tearing sensation when it hurts, and when these phenomena occur in these areas, we also consider it trigeminal neuralgia.

The pain is usually around the trigeminal nerve, and the pain sensation usually occurs on one side or involves one side, with the second and third fingers on one side being the most common. If the condition is more severe, it may also be accompanied by facial redness or increased temperature, as well as some uncommon symptoms such as conjunctival congestion and increased saliva secretion, nasal mucosal congestion, nasal discharge, and increased saliva secretion.

In the acute attack of trigeminal neuralgia, the pain is obvious, and it is difficult to chew, which seriously affects the quality of life of the patient, and even reaches the level of pain, and the pain site is mainly the distribution area of the trigeminal nerve, the specific situation is as follows:

1. Ophthalmic nerve: mainly distributed in the supraorbital and intraorbital parts**, including part of the lacrimal gland nerve distribution;

2. Maxillary nerve: the main distribution range is in the nasal alar and all **;

3. Mandibular nerve: mainly distributed in the lower alveolar, including the gingiva and mandibular parts.

The three branches of the trigeminal nerve are the first ophthalmic nerve (pain in the forehead, temples, eyebrows, orbits, eyes, head, front of the ears, etc.), the second maxillary nerve (pain in the face, nasal wings, cheeks, upper lip, upper teeth, etc.), and the third mandibular nerve (pain in the tongue, tongue root, lower teeth, lower lip, under the ears, jaw joint, etc.), distributed in the face, eyes, mouth, nasal cavity, mucous membranes of the paranasal sinuses, teeth, meninges, etc., conducting pain, warmth, touch and other sensations. All of these areas can be painful.

Trigeminal innervated area.

The picture above shows the trigeminal nerve innervation area, the trigeminal nerve is symmetrical to the left and right of the midline of the face, trigeminal neuralgia also occurs in the trigeminal nerve innervation area of pain, generally unilateral onset, the pain will not exceed the midline, the right side is more than the left side, women slightly higher than men.

The occurrence of trigeminal neuralgia requires timely control and pain relief, generally the initial stage is drug relief, such as carbamazepine, oxcarbazepine, phenytoin, etc.; Further is required when the drug is not effective or the drug is not tolerated**; Microvascular decompression can be performed if the physical condition is good, young and tolerant of craniotomy, and microballoon compression can be performed if the physical condition is poor and craniotomy is not tolerated. This needs to be diagnosed, examined, and evaluated to know how to do it.

For the specific situation, please go to a regular hospital, evaluated by a doctor, Anhui Changzheng Minimally Invasive Surgery Hospital-Trigeminal Neurological Center is not bad, and there is more research on trigeminal neuralgia** You can go to see and understand.

Trigeminal neuralgia is characterized by paroxysmal severe pain in the distribution area of the trigeminal nerve on one side of the face, and the disease is characterized by sudden onset of sudden onset in the distribution area of the trigeminal nerve of the head and face, sudden arrest, lightning, knife cutting, burning, intractable, unbearable severe pain.

It is recommended to choose an orthopedic hospital with medical insurance qualifications, which is more targeted, and can also be trained under the guidance of doctors, which is of great help to the condition, and the medical insurance charges are more reasonable, and can also reduce economic pressure, I hope it will help you.

1. Pain location: mainly located in the face, the pain range does not exceed the distribution area of the trigeminal nerve;

2. Nature of pain: such as acupuncture, electric shock, unbearable severe pain, or even unbearable pain;

3. Pain regularity: it occurs suddenly, and each pain attack lasts only a few seconds before it can be relieved by itself; Drinking water, eating, touching lightly, and blowing the wind can trigger pain attacks;

4. The 1st and 2nd branches of the trigeminal nerve are sensory branches, mainly pain, and the third branch can innervate part of the movement of the masticatory muscles, and the trigeminal neuralgia can lead to masticatory weakness when it is severe.