Trigeminal neuralgia is a condition of the 5th cranial nerve characterized by paroxysms of pain in areas innervated by the trigeminal nerve branches, most commonly the 2nd and 3rd branches. Symptoms include unilateral shooting or stabbing pain, eye closing, mouth twitching, and paroxysms. Diagnosis involves MRI to identify if a cerebral artery or vein is compressing the nerve root entry point. Treatment includes medications like carbamazepine and gabapentin, as well as microvascular decompression surgery or other procedures to relieve nerve compression. Nursing care educates patients on triggers and managing pain, and provides symptom relief.
Trigeminal neuralgia is a condition of the 5th cranial nerve characterized by paroxysms of pain in areas innervated by the trigeminal nerve branches, most commonly the 2nd and 3rd branches. Symptoms include unilateral shooting or stabbing pain, eye closing, mouth twitching, and paroxysms. Diagnosis involves MRI to identify if a cerebral artery or vein is compressing the nerve root entry point. Treatment includes medications like carbamazepine and gabapentin, as well as microvascular decompression surgery or other procedures to relieve nerve compression. Nursing care educates patients on triggers and managing pain, and provides symptom relief.
Trigeminal neuralgia is a condition of the 5th cranial nerve characterized by paroxysms of pain in areas innervated by the trigeminal nerve branches, most commonly the 2nd and 3rd branches. Symptoms include unilateral shooting or stabbing pain, eye closing, mouth twitching, and paroxysms. Diagnosis involves MRI to identify if a cerebral artery or vein is compressing the nerve root entry point. Treatment includes medications like carbamazepine and gabapentin, as well as microvascular decompression surgery or other procedures to relieve nerve compression. Nursing care educates patients on triggers and managing pain, and provides symptom relief.
BRIEF DESCRIPTION SIGNS AND SYMPTOMS DIAGNOSTIC EXAM NURSING INTERVENTION
INDEPENDENT DEPENDENT COLLABORATIVE
Avoid eating food too cold and too hot
Educate patient that washing face, combing hair, brushing the teeth, shaving, chew may trigger the pain Instruct patient to to take fluids and food in room temperature
Carbamazepine
Gabapentin
Baclofen
Phenytoin
Microvascular Decompression of the Trigeminal Nerve an intracranial approach used to relieve the contact between the cerebral vessel and the trigeminal nerve root entry.
Radio Frequency Thermal Coagulation produces a thermal lesion on the trigeminal nerve.
Percutaneous Ballon Microcompression disrupts large myelinated fibers in all three branches of the trigeminal nerve
It is a condition in the 5 th
cranial nerve that is characterized by paroxysms of pain in the area innervated by any of the three branches ,but most commonly the 2 nd and the 3 rd branches of the trigeminal nerve (Mazzoni,2006)
Pain unilateral shooting and stabbing sensation
Consecutive Closing of eye
Twitching of the mouth
Douloureux
Paroxysms
MRI identifies if the loop of a cerebral artery or vein may compress the nerve root entry point (Gronseth, Cruccu, Alksne, 2008)