What Can I Expect During Trigeminal Neuralgia Surgery?

Trigeminal neuralgia is the most common cerebral neurological disease. It is mainly manifested by recurrent paroxysmal severe pain in the trigeminal nerve distribution area on one side. The domestic statistical incidence rate is 52.2 / 10 million. Females are slightly more than males. The incidence is May grow with age. Trigeminal neuralgia occurs in middle-aged and elderly people, with the right side more than the left side. The disease is characterized by sudden onset, sudden arrest, lightning-like, knife-like, burning-like, intractable, unbearable severe pain in the trigeminal nerve distribution area of the head and face. Speaking, washing your face, brushing your teeth or breeze, even walking can cause severe pain during paroxysmal episodes. The pain lasts for a few seconds or minutes. The pain occurs periodically, and the interval between attacks is the same as that of normal people.

Trigeminal pain

Western Medicine Name: Trigeminal pain
The main symptoms: Severe pain

Multiple groups: Middle-aged and elderly
Contagious: Non-contagious

Trigeminal neuralgia

Causes and pathogenesis of trigeminal neuralgia

Trigeminal neuralgia is divided into two types: primary and secondary. Secondary trigeminal neuralgia includes brain space occupying lesions and vascular compression. The etiology and pathogenesis of primary trigeminal neuralgia are still unknown in western medicine. The conclusion is that TCM thinks it is a liver and kidney problem.

Trigeminal neuralgia gender and age

Most are over 40 years old, mostly middle-aged and elderly. More women than men, about 3: 2;

Trigeminal pain

The right side is more than the left side, and the pain spreads from one point of the face, mouth, or jaw to one or more branches of the trigeminal nerve. The second and third branches are most common, and the first branch is rare. The pain range does not exceed the midline of the face, nor does it exceed the trigeminal nerve distribution area. Occasional bilateral trigeminal neuralgia, 3%;

Trigeminal pain pain nature

Such as severe cutting, acupuncture, tearing, burning or electric shock-like severe pain, ordinary people can not bear or even feel uncomfortable;

Trigeminal neuralgia pain regularity

The onset of trigeminal neuralgia is often unpredictable, and the onset of pain is generally regular. Each episode of pain lasted only a few seconds to several minutes and stopped abruptly. The number of episodes is small at the onset of the onset, and the interval is long, ranging from minutes and hours. As the disease progresses, the episodes become more frequent, the interval gradually shortens, and the pain gradually increases and becomes severe. Pain episodes are reduced at night. No discomfort during the interim period; 5. Inducing factors: Talking, eating, washing the face, shaving, brushing teeth, and wind blowing can all induce painful episodes, resulting in the patient's loss of energy. Act cautiously, and even dare not wash his face, brush his teeth, eat or speak Also be careful lest you cause an attack;

Trigeminal pain trigger point

The trigger point is also known as the "trigger point" and is often located on the upper lip, nose, gums, corner of mouth, tongue, eyebrow, etc. Touching or stimulating the trigger point can trigger a painful episode;

Trigeminal pain expressions and facial changes

When you have an attack, you often stop talking, eating, and other activities. The painful side can show cramps, that is, "painful cramps." , Tears and salivation. The expression is nervous and anxious;

Trigeminal neuralgia treatment

Trigeminal pain medication

1, carbamazepine (carbamazepine): effective in 70% of patients with pain, but great damage to liver and kidney, long-term use is not recommended, about 1/3 of patients can not tolerate side effects such as drowsiness, dizziness, digestive tract discomfort Start taking 2 times a day, and later 3 times a day. 0.2 to 0.6 g daily, divided into 2 to 3 times, daily extreme amount of 1.2 g.

2, sodium phenytoin (sodium phenytoin): less effective than carbamazepine.

3, Chinese medicine treatment: have a certain effect.

Trigeminal neuralgia surgery

1. Trigeminal and semilunar ganglion closure

2. The method of percutaneous radiofrequency thermocoagulation for semilunar ganglia is to insert radiofrequency needle electrodes into the semilunar ganglia under the guidance of X-ray or CT, and gradually heat it to 65-75 degrees after power on, and damage the target for 60 minutes second. This method is suitable for patients who cannot, or refuse, craniotomy due to advanced age.

3. Microvascular decompression (MVD) confirms that the trigeminal nerve is vascular compression; other patients with poor treatment results are willing to undergo surgery

Chinese medicine treatment of trigeminal neuralgia

Traditional Chinese medicine includes traditional Chinese medicine, acupuncture and acupuncture

Based on syndrome differentiation and treatment of traditional Chinese medicine, trigeminal neuralgia is treated by implanting sheep's gut line or biological protein line into the acupoints of the human body, and the continuous stimulation of the acupuncture points is used to treat trigeminal neuralgia. No side effects.

Acupuncture therapy:

Acupuncture for trigeminal neuralgia can be treated with acupuncture

Common stimuli in daily life, such as talking, eating, chewing, coughing, washing the face, shaving, brushing your teeth, or blowing on the cold air, can be induced. As a result, the patient was extremely frightened and acted with extreme caution. He often dared not eat, talk, wash his face, or rinse his mouth, which caused his face to become dirty, haggard, depressed, and depressed. Have a great impact on patients' lives.

Doctors usually treat sedation, analgesics, anti-inflammatory drugs or closed needles, but the results are not good. It can also be treated by surgery, but the sequelae of surgery are large, which may cause numbness in the affected side, and it is currently less commonly used. Now we can treat it with auricular acupuncture. Auricular acupuncture is one of the treasures of Chinese medicine culture. An elderly woman in her 70s has had trigeminal neuralgia for four or five years. Every time it hurts, it is very difficult to wash her face, brush her teeth, or even speak. Every time I go to the hospital to see a doctor, the doctor prescribes some sedative and analgesic drugs, temporarily stops the pain, and there is no way to cure it. Later, I heard that auricular acupuncture can cure this disease. Hold the idea of trying to find Chinese medicine. The "buried needle" method of acupuncture in traditional Chinese medicine has been treated three times, and there has been no recurrence in the next few years. Auricular acupuncture is very effective in treating migraine and trigeminal neuralgia, and it is also effective in controlling women's menstruation and women's dysmenorrhea.