Head of the Department of Brain and Nerve Surgery, Dr. Lecturer Alev Güner, made important statements about the symptoms and treatment methods of trigeminal neuralgia.
Pointing out that pain attacks can start in situations such as touching the face, chewing, brushing teeth, exposure to the wind, applying make-up, swallowing and talking, and also in cases where the face is stretched such as taking very hot and cold foods, smiling, Güner said, can repeat. The number and duration of attacks may increase over time. “Patients can understand that the pain will begin before the pain occurs, and there may be involuntary contractions on the face after the pain.”
“Drawing attention to the factors that cause trigeminal neuralgia, Dr. Güner said, “There may be compression of the tissues in the anatomical structures on the areas where the trigeminal nerve exits from the brain stem and passes through, as well as multiple sclerosis and diabetes that can cause damage to the nerve tissue.
Presence of trigeminal neuralgia in family members is also considered as a risk factor for first degree relatives. “Trigeminal neuralgia can cause anxiety disorders due to painful attacks in many patients.”
Stating that the basis of neuralgia treatment lies in determining the cause and determining the appropriate treatment plan for the type of neuralgia, Dr. Güner said, “First of all, a detailed history must be taken and the tests are started after the physical examination.
Treatment is arranged depending on the detected cause. If a lesion compressing the nerve is detected, surgical methods are applied. If a specific lesion is not found, symptomatic treatment is started to relieve neuralgia. Normal pain relievers are generally not effective. The effects of some antiepileptic drugs are known. If necessary, antidepressants can be added to the treatment. In cases of untreatable neuralgia, severe depression may develop as a result of significant decreases in the quality of life and work productivity of the person ”.