[Trigeminal Neurology] 1. Trigeminal Neurology, commonly known as "the world's number one pain", is the most common brain nerve disease, with an estimated incidence rate of 40,000-45,000. 2. The older the age, the higher the incidence rate. Women are twice as many as men, most of

[Trigeminal Neurology]

1, trigeminal Neurology, commonly known as "the world's number one pain", is the most common brain nerve disease, with an estimated incidence rate of 40-45/100,000.

2. The older the age, the higher the incidence rate. Women are twice as many as men, most of them on the right.

3. The characteristics of trigeminal neuralgia are: in the distribution area of ​​the trigeminal nerve on one side of the head and face, sudden sudden, lightning-like, knife-cutting-like, burning-like, stubborn, and unbearable severe pain. Talking about living, washing your face, brushing your teeth or breeze can cause paroxysmal and severe pain.

4. The pain lasts for several seconds or minutes. The pain occurs periodically. The interval between attacks can be several days or years, which is the same as a normal person. During prolonged attacks, the pain can be severe enough to affect, water consumption, oral hygiene care, and nutritional status.

【How to deal with it? 】

1. Drug treatment. Carbamazepine can be taken every time the attack, or drugs that can treat severe pain. Trigeminal neuralgia is severe, usually at the most severe level, carbamazepine is the most effective.

2. Surgical treatment, there are three types of surgical treatment: 1. One of them is called microvascular decompression. Trigeminal neuralgia is often caused by blood vessels, such as the anterior inferior cerebellar artery and superior cerebellar artery to compress the trigeminal nerve, stimulating the trigeminal nerve, and causing trigeminal neuralgia. This surgery is to cushion blood vessels from the trigeminal nerve. This surgery is called microvascular decompression.

2. Radio frequency treatment, radio frequency treatment is to penetrate the radio frequency needle from the face, and then use heat to damage the trigeminal nerve half-moon ganglion. This surgery is simple and replaces pain with facial numbness. It has good short-term effects and may have a long-term recurrence.

3, Trigeminal nerve half-moon ganglion balloon compression surgery.

dilated balloon nonselectively compresses the trigeminal nerve half-moon ganglion, reducing the afferent of sensory impulses, turning off the trigger switch of the trigeminal neuralgia sensory conduction pathway, achieving the effect of relieve pain, replacing the pain with mild numbness, and short-term chewing muscle weakness. It has the characteristics of safety, relatively few complications and minimally invasiveness.

4. Under the guidance of muscular ultrasound, precise relaxation and local block treatment of the sphenopal palatine ganglion and mandibular nerve can partially relieve trigeminal neuralgia and have obvious effects.

Doctor Brother Xiaoqiang