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Trigeminal Neuralgia
Trigeminal Neuralgia
Triggers
Shaving
Stroking your face
Eating
Drinking
Brushing your teeth
Talking
Putting on makeup
Encountering a breeze
Smiling
Washing your face
Gbr Klinik:
Insidens 4,3 per 100.000 populasi /tahun
Perempuan > laki: 1,17 : 1
Sering pada usia dewasa setelah 40 thn,
ditemukan juga pada anak usia 12 thn.
Nyeri tajam menusuk seperti kesetrum
listrik -> 20-30 detik secara paroksismal.
Unilateral (97%) dapat bilateral
Paling sering pada cabang ke 2 & 3,
Presipitasi mengunyah, menggigit,kontak
pada daerah trigger zone.
Rasa Nyeri
Nervus Trigeminus
Gangglion Trigeminus
Berakhir TNC
Karbamasepin
Phenytoin
Klonazepam
As. Valproat
Baclofen
Antispasmodic agents
Non medikamentosa
Surgery
Microvascular decompression
Gamma Knife radiosurgery
Acupuncture
Biofeedback
Vitamin therapy
Nutritional therapy
Electrical stimulation of nerves
New Patient
Carbamazepine (CBZ)
Relief
Continue
CBZ
Reduce
Slowly
Alergic response or
Other severe side effects
Partial Relief
CBZ plus
Phenytoin
Phenytoin or
oxcarbaazepine
Relief
Continue
CBZ plus
Phenytoin
No Relief
CBZ plus
Baclofen
Relief
No Relief
Continue
Phenytoin
Baclofen
Reduce
Slowly
Reduce
Slowly
Relief
No Relief
No Relief
Relief
Relief
No Relief
No Relief
Continue
CBZ plus
Baclofen
Lamotrigine
or
Relief
Continue
Baclofen
Valproic acid
or
Reduce
Slowly
Reduce
Slowly
Clonazepam
Surgery
Tricyclic
Antidepresant
No Relief
Relief
Continue