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Trigeminal neuralgia

Also known as Tic Douloureux and Fothergill Disease

Trigeminal neuralgia (TN, or TGN), also known as prosopalgia, suicide disease, or Fothergill's disease is a neuropathic disorder characterized by episodes of intense pain in the face, originating from the trigeminal nerve. The clinical association between TN and hemifacial spasm is the so-called tic douloureux. It has been described as among the most painful conditions known to mankind. It is estimated that 1 in 15,000 or 20,000 people suffer from TN, although the actual figure may be significantly higher due to frequent misdiagnosis. In a majority of cases, TN symptoms begin appearing more frequently over the age of 50, although there have been cases with patients being as young as three years of age. It is more common in females than males.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with trigeminal neuralgia, 90% report having facial pain, 64% report having headache, and 29% report having loss of sensation. The symptoms that are highly suggestive of trigeminal neuralgia are facial pain, symptoms of the face, and tongue pain, although you may still have trigeminal neuralgia without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with trigeminal neuralgia often receive magnetic resonance imaging, other or therapeutic nervous system procedures, ophthalmologic and otologic diagnosis and treatment, other non-or or closed therapeutic nervous system procedures, other diagnostic radiology and related techniques, electroencephalogram (eeg) and psychological and psychiatric evaluation and therapy .

Common Medications

The most commonly prescribed drugs for patients with trigeminal neuralgia include carbamazepine, gabapentin, oxcarbazepine (trileptal), pregabalin (lyrica), baclofen, lamotrigine (lamictal), eletriptan (relpax), desloratadine (clarinex), aliskiren / valsartan, butalbital (g-1), entacapone (comtan), bromocriptine and diclofenac topical product .

Who is at risk?

Groups of people at highest risk for trigeminal neuralgia include age 75+ years age 60-74 years. On the other hand, age 1-4 years and age < 1 years almost never get trigeminal neuralgia.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.2x
15-29 years
0.3x
30-44 years
0.7x
45-59 years
1.4x
60-74 years
2.3x
75+ years
1.8x

Sex

Male
0.8x
Female
1.1x

Race/Ethnicity

Black
0.6x
Hispanic
1.0x
White
1.1x
Other
1.1x
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