What is atypical trigeminal neuralgia?

Atypical trigeminal neuralgia (ATN) is a rare cranial nerve disorder in (CN V), characterized by face pain that has a constant or fluctuating timing, with severe, sore, burning or boring quality. It is difficult to distinguish it from classical trigeminal neuralgia or tic doulloureux, because it is also characterized by intense face pain in the cranial nerve in or trigeminal distribution. Sometimes atypical neuralgia is wrong with migraine, hypochondria or temporomandibular joint disorder. Drugs for typical trigeminal neuralgia can provide pain relief. When the trigeminal nerve is irritated by a state called trigeminal neuralgia, which is manifested as an intense, electric shock or sting pain on one side of the face, especially on the jaw and lower face. In the classic or typical trigeminal neuralgia, the tribolest of geminal nerves comes in convulsions or attacks, which usually last for several seconds and do not radiate. The classic trigeminal pain is stimulated,When they touch the "trigger points" of the face and are characterized by painless periods called remission. When a person goes to a doctor who complains about face pain, which does not fully correspond to the characteristics of classical trigeminal neuralgia, the diagnosis of atypical trigeminal neuralgia or trigeminal neuralgia type 2 is given.

Atypical trigeminal pain of neuralgia may squeeze or burn rather than electric shock or lancination. Moreover, pain from this trigeminal neuralgic variant may be constant or continuous and the patient rarely has remission. Some people who have atypical trigeminal neuralgia complain about constant migraine or pain throughout the face. This pain is impaired by facial movements such as chewing, speech smiling and sometimes cold feelings. Stability of unbearable pain caused some people with ATN to commit suicide, giving atn moniker "suicide choroBU ”.

The basic mechanisms of ATN are nerve inflammation, destruction of myelin sheath and subsequent increase in CN V sensitivity. These mechanisms may be the result of various conditions, including a tumor or malformated blood vessel compressing nerve, tooth procedures and extensive sclerosis. Some assumed that ATN was secondary to compressing part of the CN in Portio Minor, but others believe it is a more serious or progressive form of typical trigeminal neuralgia.

Partial relief for atypical trigeminal neuralgia can be obtained from drugs used for its classic counterpart. These drugs, which include anticonvulsants such as carbamazepine and lamotrigine, anesthetics such as lidocaine aantidepressive, such as amythriptiline, are considered useful because they provide relief for neuropathic pain. Surgical nerve decompression can be therapeutic. It is important to be able to control pain using these modalities because atypical trigeminal neuralgia can lead to depression and reduce the quality of the affected Oreindeer.