It is a chronic , debilitating condition and
neuropathic disorder of the vth cranial nerve. It has mixed trigeminal nerve senses
modalities. Sensation,
nociception, thermoception, muscles of
mastication.
Epidemiology
It occurs in the ages of 50 to 6o years.With age it is
increasing. In females it is more common.
Genetic predisposition,
Causes
It is caused by a loop of artery or vein of the compression
to the trigeminal nerve. In 5-10% of tumors, abnormalities of the skull base, multiple sclerosis and it can damages the trigeminal nerve, arteriovenous malformations , post herpetic
neuralgia, on the trigeminal nerve blood vessel pressing , tongue piercing,
enduring stress, lower part of the brain stroke impacting, kissing, drinking, eating, smiling,
talking, crying etc.
Symptoms
It is caused unilateral, stabbing,
brief and sudden occurs recurrent pain
of the vth cranial nerve. Pain
occurs for a few seconds to two minutes. It attacks a day a few to hundreds. It may last from months to years. Tingling or numbness , severe, sharp, shock-like pains. Pains arise on one side in the face or check and it can involve nose, eyes, lips and scalp. These last for days, weeks, months or even tears. Bilateral pains nay have 3-5% of patients. In 10-12% cases are found in both sides. Pain is more severe in both sides and pain in frequency and severe. Pain feel in the index finger also. Pain feel stabbing, pricking or burning , weight loss, loss of appetite, sleeplessness, restlessness, Dryness of eyes, dryness of mouth and caused lower secretion of saliva.
Physical or laboratory diagnosis is done. Quickly need treat and diagnose. By movements of the
tongue or facial muscles, triggering is occur.
Surgical
Surgical therapy is poor when is
not effective medical treatment. Radiofrequency thermorhizotomy may effective,
gamma knife radiosurgery may effectiveness that decreases with time.
Treatment
by homeopathic medicine
There are several homeopathic medicines are uses such as when right side of the face is
affected then uses Magnesium
phosphoricum, kalium phosphoricum .
When affected left sided then uses
spigelia, lachesis.
When affected by tooth extraction
then uses hekla lava, plantago major.