tag:blogger.com,1999:blog-36308826978199800812024-02-19T18:17:21.051-08:00Trigeminal NeuralgiaAnonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.comBlogger23125tag:blogger.com,1999:blog-3630882697819980081.post-91399312507264530062013-08-25T10:27:00.001-07:002013-08-25T10:27:38.751-07:00Peripheral Neuropathy<div dir="ltr" style="text-align: left;" trbidi="on">
The term peripheral neuropathy is used to refer to many different types of neuropathy, from those involving only a single nerve, such as Bell’s palsy,<br /> to those producing profound generalized paralysis, such as Guillain-Barre syndrome. There are also many different causes, ranging from heritary neuropathies to toxic ones caused by heavy metal poisoning.<br />
A neuropathy is any abnormal state (pathy) of a nerve or nerves (neuro). The peripheral nerves are those that are outside the central nervous system, running from the brain or spinal cord to our muscles, organs, skin, etc. The peripheral nerves are usually divided into three types; motor nerves which go to muscles and control their contractions, sensory nerves which run from sensory organs to the spinal cord, and autonomic nerves which regulate many of our automatic functions such as controlling blood pressure, movement of the intestines, sweating, etc. A peripheral neuropathy may involve exclusively one type of nerve, or all three.<br />
Some common conditions are actually neuropathies. I mentioned Bell’s palsy above; in addition there is carpal tunnel syndrome, which occurs when pressure at the wrist causes the nerves running through the wrist not to conduct correctly; trigeminal neuralgia, a painful neuropathy of the nerve going to the face; and shingles, an infection of the nerves by varicella-zoster virus. Some conditions are experienced by many people temporarily — for example, the numbness that can occur in the little finger and side of the hand during sleep when the elbow is bent to its maximum, which stretches the ulnar nerve in the elbow. But when most people, and most doctors, refer to peripheral neuropathy they are talking about numbness, tingling and pain, usually in the feet and legs.<br />
Diabetes is a common cause of neuropathy, as is kidney failure. Maximum control of these underlying diseases may improve the neuropathy. There is an ancient disease, beri-beri, caused by thiamine deficiency, which causes such a neuropathy. No one eating a regular diet will develop beri-beri, and it is therefore seen in this country exclusively in alcoholics. For others, supplementing B complex vitamins will probably not help but won’t hurt, although megadoses should not be taken. (Megadoses of Vitamin B6, pyridoxine, have been shown to cause a neuropathy.)<br />
Some cases of slowly developing neuropathies are hereditary, and usually inherited in a recessive fashion, meaning the parents and siblings will probably not have the disease. A careful family history that includes grandparents, aunts, uncles and cousins may give a clue.<br />
Many drugs may cause a neuropathy, including some used in cancer chemotherapy, in the treatment of HIV infection, isoniazid used to treat tuberculosis, and others less commonly used. Severe alcoholism can cause a neuropathy that is not beri-beri and that will not respond to doses of thiamine. Infections that can cause it include HIV, Lyme disease, leprosy, polio, diptheria, and syphilis. Treatment of the underlying infection will often reduce the symptoms of neuropathy.<br />
<br />
<strong>Email</strong> : <a href="mailto:neuro@trigeminalneuralgia.in"><strong><em>neuro</em></strong></a><a href="http://www.blogger.com/null"><strong><em>@trigeminalneuralgia.in</em></strong></a></div>
Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com8tag:blogger.com,1999:blog-3630882697819980081.post-64440814853312510642013-08-25T10:03:00.002-07:002013-08-25T10:03:32.744-07:00Nasal spray made from ‘hot pepper’ eases shingles pain <div dir="ltr" style="text-align: left;" trbidi="on">
A NASAL spray made from a compound found in hot peppers could be a new way to
treat the severe pain associated with shingles.<br />
<br />
Now United States researchers have developed a spray to tackle this when it
occurs in the face. The spray is designed to block pain signals in the
trigeminal nerve, which is responsible for facial sensation.<br />
<br />
Shingles is caused by the reactivation of the chicken pox virus (the
varicella-zoster virus). After causing chickenpox, the virus lies inactive in
the nerves, where it is kept in check by a healthy immune system.<br />
<br />
But if this is weakened - because of advancing age, stress or disease - the
virus ‘wakes up’. This can happen years, even decades, after the initial
chickenpox infection.<br />
<br />
The virus then causes inflammation and damage to the nerves, triggering a
rash and pain in the affected area - usually the chest or abdomen, though
sometimes the face.<br />
<br />
A bout of shingles lasts two to four weeks, but up to one in five people
will develop postherpetic neuralgia - severe chronic pain that persists for at
least three months. In some cases, it can last ten years or more.<br />
<br />
The pain is variously described as a burning, stabbing, shooting, aching or
throbbing sensation; the area can also feel itchy. It is not clear why some
people develop pain after shingles. <br />
<br />
But the risk increases with age - postherpetic neuralgia affects one third
of people aged over 80 at some time.<br />
<br />
Conventional treatments include low-dose anti-depressants and epilepsy
drugs, which dampen down pain messages.<br />
<br />
The new spray, developed by U.S.-based Winston Laboratories, is based on
capsaicin, the compound that makes chilli peppers hot. When eaten, capsaicin
triggers a burning sensation by activating nerve cells - it’s thought that it
tackles pain by desensitising the nerves.<br />
<br />
In a trial at the California Headache Centre, 40 patients with moderate to
severe daily pain with postherpetic neuralgia will use the spray or placebo
twice a day.<br />
<br />
The researchers say administering the drug, as a spray will be more
effective than existing treatments at targeting the trigeminal nerve.<br />
<br />
<strong><em>email</em></strong> : <a href="mailto:neuro@trigeminalneuralgia.in">neuro</a><a href="http://www.blogger.com/null">@trigeminalneuralgia.in</a></div>
Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com1tag:blogger.com,1999:blog-3630882697819980081.post-39595988918423656582013-07-13T04:10:00.001-07:002013-07-13T04:10:42.921-07:00Trigeminal Neuralgia Diagnosis<div dir="ltr" style="text-align: left;" trbidi="on">
Trigeminal neuralgia (TN) is defined by the International Headache Society (IHS) as “unilateral disorder characterized by brief electric shock-like pains, abrupt in onset and termination, and limited to the distribution of one or more divisions of the trigeminal nerve” [International Headache Society, 2004]. The IHS suggests a classification of TN as either classic (essential or idiopathic) TN (CTN) or symptomatic TN (STN; pain indistinguishable from that of CTN, but caused by a demonstrable structural lesion other than vascular compression). The diagnosis of CTN requires the absence of a clinically evident neurological deficit. CTN starts in the second or third divisions, affecting the cheek or the chin [International Headache Society, 2004]. The ophthalmic division alone is involved in less than 5% of cases [De Simone <em>et al.</em> 2005]. The single attack generally lasts from less than a second to a few seconds, but it may present in clusters of variable intensity with up to 2 minutes duration. In many cases it is followed by a brief refractory period during which a new stimulation is not able to evoke another attack. Between paroxysms the patient is usually pain free, but a dull background pain may persist in some cases [International Headache Society, 2004]. Growing neurosurgical data advocate the distinction of these two subtypes of TN into type 1 as defined as >50% episodic onset of TN pain and type 2 defined by >50% constant pain [Tatli <em>et al.</em> 2008; Limonadi <em>et al.</em> 2006]. The mechanisms associated with the development of this persistent pain are not well understood but concomitant background pain is associated with poor medical and surgical outcome [Obermann <em>et al.</em> 2008; Sandell and Eide, 2008; ]. Recent investigations focused on the suspected central component in the pathophysiology of TN, which could involve central allodynic mechanisms that may also engage the nociceptive neurons at thalamic and cortical level .</div>
Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com2tag:blogger.com,1999:blog-3630882697819980081.post-90264526714772236412013-07-13T04:03:00.001-07:002013-07-13T04:03:17.751-07:00Microvascular Decompression<div dir="ltr" style="text-align: left;" trbidi="on">
<h4>
Microvascular decompression </h4>
<br />
Microvascular decompression is an operation to release the pressure of blood
vessels pressing on the trigeminal nerve.<br />
<br />
During microvascular decompression surgery, the surgeon will either remove or
relocate the blood vessels, separating them from the trigeminal nerve.<br />
<br />
For most people, this type of surgery is effective in easing the pain of
trigeminal neuralgia and appears to provide the long lasting relief. <br />
<br />
However, the operation can cause hearing loss which is estimated to occur in
less than 3% of people. Also, it is possible for pain to return after surgery
and for surgery to cause a loss of sensation in the face, but this is unusual
and often temporary. Very rarely, this type of surgery can result in stroke,
meningitis or even death.<br />
<br />
<a href="http://www.trigeminalneuralgia.in/">http://www.trigeminalneuralgia.in</a></div>
Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com2tag:blogger.com,1999:blog-3630882697819980081.post-88424496993607878722013-07-13T03:59:00.001-07:002013-07-13T03:59:46.330-07:00Treating Trigeminal Neuralgia<div dir="ltr" style="text-align: left;" trbidi="on">
<strong>Medication can provide temporary relief from the pain of trigeminal
neuralgia. Surgery may be considered for people who experience severe pain
despite medication, worsening pain or adverse effects from the
medication.</strong><br />
<br />
Your Doctor will first prescribe a type of medicine called an anticonvulsant
(usually used to treat seizures in epilepsy), which can help relieve pain in
your face. These drugs work by slowing down electrical impulses in the nerve and
reducing its ability to transmit pain. Normal painkillers such as paracetamol are not effective in treating
trigeminal neuralgia.<br />
<br />
The anticonvulsant medicine called carbamazepine (see below) is usually the
first medication recommended. However, if carbamazepine is not effective, a
different anticonvulsant called gabapentin may be used. <br />
<br />
<h3>
Carbamazepine </h3>
<br />
Although carbamazepine is usually used to treat epilepsy, it can sometimes be
effective in treating trigeminal neuralgia because it lessens the uncontrollable
pain signals.<br />
<br />
You will usually need to take this medicine one to two times a day to begin
with, although some people may need a higher dose. <br />
<br />
Carbamazepine can cause side effects which may make it difficult for some
people, such as the elderly, to use. Possible side effects are outlined
below.<br />
<br />
<h4>
Very common side effects </h4>
<br />
These side effects have affected more than one in 10 people and include:<br />
<br />
<ul>
<li>nausea (feeling sick) and vomiting </li>
<li>dizziness </li>
<li>tiredness </li>
<li>finding it difficult to control movements </li>
<li>a reduced number of infection-fighting white blood cells (leukopenia) </li>
<li>changes in liver enzyme levels (enzymes are proteins that speed up any
reaction happening in the body) </li>
</ul>
<br />
<h4>
Less common side effects </h4>
<br />
These side effects have affected up to one in 10 people and include:<br />
<br />
<ul>
<li>increased risk of bruising or bleeding </li>
<li>fluid retention (being unable to pass urine) </li>
<li>weight gain </li>
<li>confusion </li>
<li>headache </li>
<li>blurred or double vision </li>
<li>dry mouth </li>
</ul>
<br />
<h4>
Uncommon side effects </h4>
<br />
Uncommon side effects of carbamazepine can include:<br />
<br />
<ul>
<li>uncontrollable (involuntary) movements such as tremors </li>
<li>abnormal eye movements </li>
<li>diarrhoea </li>
<li>constipation </li>
</ul>
<a href="http://www.trigeminalneuralgia.in/">http://www.trigeminalneuralgia.in</a></div>
Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com2tag:blogger.com,1999:blog-3630882697819980081.post-42549628691242788252013-07-13T03:54:00.001-07:002013-07-13T03:54:11.981-07:00Nice Guidelines for Neuropathic Pain <div dir="ltr" style="text-align: left;" trbidi="on">
<a href="http://www.mstrust.org.uk/interactive/mstrust/2013/nice-guidelines-on-neuropathic-pain-what-we-said/">http://www.mstrust.org.uk/interactive/mstrust/2013/nice-guidelines-on-neuropathic-pain-what-we-said/</a><br />
<br />
<br />
<br />
<br />
<a href="http://www.trigeminalneuralgia.in/">http://www.trigeminalneuralgia.in</a></div>
Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-40313014842989861722011-01-03T03:37:00.000-08:002011-01-03T03:37:10.796-08:00Trigeminal Neuralgia<strong>Trigeminal neuralgia</strong> is a painful condition of the nerve responsible for most facial sensation.<br />
<br />
Read about it more on <a href="http://www.trigeminalneuralgia.in/"><strong>http://www.trigeminalneuralgia.in</strong></a><br />
<br />
<br />
Email: <a href="mailto:neuro@trigeminalneuralgia.in"><strong>neuro@trigeminalneuralgia.in</strong></a>Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com5tag:blogger.com,1999:blog-3630882697819980081.post-69773010277246716662011-01-03T02:45:00.000-08:002011-01-03T02:45:15.170-08:00Trigeminal Neuralgia<strong>Trigeminal neuralgia</strong> (TN), tic douloureux (also known as prosopalgia, the ' Suicide Disease' or 'Fothergill's disease') is a neuropathic disorder .<br />
<br />
log on to<strong> </strong><a href="http://www.trigeminalneuralgia.in/"><strong>http://www.trigeminalneuralgia.in</strong></a><br />
<br />
Dr.Sanjay Mongia<br />
Email: <a href="mailto:neuro@trigeminalneuralgia.in"><strong>neuro@trigeminalneuralgia.in</strong></a>Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-62005185083393303032011-01-03T02:36:00.000-08:002011-01-03T02:36:48.259-08:00Trigeminal Neuralgia Treatment<strong>Treatment </strong>can be subdivided into pharmacologic therapy, percutaneous procedures, surgery, and radiation therapy. Adequate pharmacologic trials should always precede the contemplation of a more invasive approach. Most patients respond well to initial therapy, but some cases are resistant to any type of treatment.<br />
<br />
<br />
<br />
<strong>Carbamazepine and oxcarbazepine are considered first-line therapy.</strong> Lamotrigine and baclofen are second-line therapy. Other treatments are third line and the evidence for their efficacy is scant.<br />
<br />
<strong>Treatment for trigeminal neuralgia</strong> must be tailored individually, based on the patient's age and general condition. In the case of symptomatic trigeminal neuralgia, adequate treatment is that of its cause. Use of pharmacoprophylaxis or of surgical techniques used for the classic form can be tried.<br />
•Carbamazepine (Tegretol, Carbatrol) was introduced in the 1960s and has proven its efficacy in numerous studies. It remains the criterion standard of treatment for <strong>trigeminal neuralgia. </strong>Oxcarbazepine (Trileptal) has not been studied as extensively, but efficacy outcomes are similar. Better tolerability can be considered an advantage over carbamazepine. <br />
<br />
Lamotrigine (Lamictal) has been proven more effective than placebo. The dosage should be increased slowly for better tolerance (eg, 25-mg daily dose each week; up to 250 mg twice a day). <br />
<br />
Baclofen has demonstrated its efficacy but with a lower degree of evidence. <br />
<br />
Email: <a href="mailto:neuro@trigeminalneuralgia.in"><strong>neuro@trigeminalneuralgia.in</strong></a> <br />
<br />
Dr.Sanjay MongiaAnonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-10259445062021320282011-01-03T02:11:00.000-08:002011-01-03T02:11:18.748-08:00TRIGEMINAL NEURALGIA<strong>Trigeminal Neuralgia</strong> causes facial pain.<strong>Trigeminal neuralgia</strong> develops in mid to late life. The condition is the most frequently occurring of all the nerve pain disorders. The pain, which comes and goes, feels like bursts of sharp, stabbing, electric-shocks. This pain can last from a few seconds to a few minutes. <br />
<br />
<br />
People with <strong>trigeminal neuralgia</strong> become plagued by intermittent severe pain that interferes with common daily activities such as eating and sleep. They live in fear of unpredictable painful attacks, which leads to sleep deprivation and undereating. The condition can lead to irritability, severe anticipatory anxiety and depression, and life-threatening malnutrition. Suicidal depression is not uncommon.<br />
<br />
People often call <strong><em>trigeminal neuralgia</em></strong> "tic douloureux" because of a characteristic muscle spasm that accompanies the pain.<br />
<br />
•The pain comes from one or more branches of the <strong>trigeminal nerve</strong>-the major carrier of sensory information from the face to the brain. <br />
<br />
<br />
◦There are 3 branches of the <strong>trigeminal nerve</strong>: the ophthalmic, maxillary, and mandibular. The pain of <strong>trigeminal neuralgia</strong> occurs almost exclusively in the maxillary and mandibular divisions. <br />
<br />
<br />
◦You most commonly feel pain in the <strong>maxillary nerve</strong>, which runs along your cheekbone, most of your nose, upper lip, and upper teeth. Next most commonly affected is the mandibular nerve, affecting your lower cheek, lower lip, and jaw.<br />
•In almost all cases (97%), pain will be restricted to one side of your face. <br />
<br />
<br />
<strong>Email :</strong> <a href="mailto:neuro@trigeminalneuralgia.in"><strong><span style="background-color: white; color: purple;">neuro@trigeminalneuralgia.in</span></strong></a> <br />
<br />
Dr.Sanjay MongiaAnonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-91119641559423753312010-11-14T07:45:00.001-08:002010-11-14T07:45:23.254-08:00Microvascular Decompression Trigeminal NeuralgiaMicrovascular Decompression surgery is a medical procedure that is often done to provide pain relief that is associated with the trigeminal neuralgia. Trigeminal Neuralgia is caused when the fifth cranial nerve is irritated. This will result in the individual experience severe pain, usually on one side of the face.<br />
<br />
<br />
<br />
<br />
Generally when Microvascular Decompression is used to treat trigeminal neuralgia, the skull is opened where the trigeminal nerve is located. Doctors will place a small sponge between the nerver and either the petrosal vein or cerebellar artery. This sponge will remove any compression the vessels may cause on the nerve.Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-6350329237289806012010-11-14T07:40:00.000-08:002010-11-14T07:40:11.279-08:00Be Wary of Facial Pain, It Could Be Trigeminal NeuralgiaPeople who often experience bouts of pain in the nose, lips, jaws, eyes, or forehead should be very wary. All these symptoms could be signs of the very serious medical condition known as <span style="background-color: white; color: magenta;"><strong><em>Trigeminal Neuralgia (TN).</em></strong></span><br />
<span style="background-color: magenta;"></span><br />
<span style="background-color: magenta;"><strong></strong></span><br />
<br />
<br />
<strong><em><span style="color: magenta;">Trigeminal Neuralgia</span></em></strong> is a very common condition, were the patient suffers from excruciating pain. This condition has been often called the “suicide disease”, as many people cannot handle the intense pain and would rather end their life and instead of dealing with it.<br />
<br />
<br />
<br />
This condition usually occurs when an arm of vein or artery makes contact with a nerve at the bottom of the brain. The contact caused by the vein or artery will cause pressure to be placed on the nerve and this in turn results in a breakdown or something going wrong in the brain.<br />
<br />
<br />
<br />
The episodes of pain associated with the condition can be extremely severe. It can be triggered by different activities such as brushing the teeth, chewing and even wind blowing on the face. Generally only one side of the face is affected by pain at a given time. The pain can be focused in one area or spread into a much wider area.<br />
<br />
<br />
<br />
There are many different treatments for this particular condition. These include the use of different types of medications, drugs and injections. If any of pulse fail to work, then surgery / Gamma Knife is often considered.Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-87217666103049595222010-11-14T07:32:00.000-08:002010-11-14T07:32:06.202-08:00Trigeminal Neuralgia: What You Need To Know<strong><span style="color: magenta;">Trigeminal Neuralgia (tic douloureux)</span> is a painful neurological condition that many people often claim is a curse, due to the pain associated with it. It is a rare condition and it is mostly found in people over 50 years of age, even though people in other age groups can be affected by it. Women have a higher chance of getting the condition and this is 1.5 more times likely, compared to men. The Trigeminal Neuralgia Association has stated that 5% of patients who suffer from this condition also have a family history of it.</strong><br />
<strong></strong><br />
<strong><br />
</strong><br />
<strong><br />
</strong><br />
<strong><br />
</strong><br />
<strong>The pain associated with <span style="color: magenta;">Trigeminal Neuralgia</span> can be debilitating as the pain is so severe. The symptoms associated with the disorder are severe facial pain, which affects one side of the face. The pain is a result of an artery or blood vessel pressing down on the trigeminal nerve located at the base of the brain. Generally the pain from the condition, usually affects the lower parts of the face such as the jaw. The pain is often described as a sharp, acute pain that is almost similar to electric shocks.</strong><br />
<strong><br />
</strong><br />
<br />
Aside from the blood vessels pressing down on the Trigeminal Neuralgia, damage to the nerve can also because by injuries to the face, surgical or dental procedures. However in many of the patients who suffer from this condition, there is no outright cause.<br />
<br />
<br />
<br />
The onset of pain associated with <span style="background-color: magenta;">Trigeminal Neuralgia</span> can often be triggered by simple actions such as eating, brushing the teeth, applying makeup, shaving, sneezing, drinking cold or hot beverages and even a light wind. Most people who suffer from the condition often state that the pain just appeared out of nowhere one day.<br />
<br />
<br />
<br />
<br />
<br />
<br />
Dr.Sanjay Mongia <br />
<a href="http://www.trigeminalneuralgia.in/"><strong><em><span style="background-color: magenta;">http://www.trigeminalneuralgia.in</span></em></strong></a>Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-49134297792676928142010-11-12T06:53:00.000-08:002010-11-12T06:53:42.469-08:00Radiosurgery Effective for MS-Trigeminal Neuralgia<div style="-webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; border-collapse: collapse; color: black; font-family: helvetica, arial, sans-serif; font-size: 14px; line-height: 1.4; text-align: left;"><b>Gamma knife stereotactic radiosurgery (GKS) appears to be an effective option for the long-term management of trigeminal neuralgia (TN) associated with multiple sclerosis (MS), according to a study presented at the annual meeting of the American Society for Radiation Oncology, held from Oct. 31 to Nov. 4 in San Diego</b>.</div><div style="-webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; border-collapse: collapse; color: black; font-family: helvetica, arial, sans-serif; font-size: 14px; line-height: 1.4; text-align: left;"><br />
</div><div style="-webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; border-collapse: collapse; color: black; font-family: helvetica, arial, sans-serif; font-size: 14px; line-height: 1.4; text-align: left;">Tejan P. Diwanji, of the University of Maryland in Baltimore, and colleagues treated 13 MS patients with TN with GKS between 1998 and 2001 and followed them for a median of 67 months after treatment.</div><div style="-webkit-border-horizontal-spacing: 2px; -webkit-border-vertical-spacing: 2px; border-collapse: collapse; color: black; font-family: helvetica, arial, sans-serif; font-size: 14px; line-height: 1.4; text-align: left;">The investigators found that the median time to pain relief was one week. Six patients discontinued their TN-related medications. However, none of the patients who had no TN symptom relief after GKS were able to reduce or discontinue TN-related medications. The median duration of pain relief for patients that responded to the first GKS was 36 months. Actuarial freedom from treatment failure was 42.9 percent at one and three years and 28.6 percent at five years. No treatment-related complications were observed. Only one patient experienced transient numbness after GKS .</div>Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-22290060580823481072010-10-26T20:12:00.000-07:002010-10-26T20:12:01.299-07:00WEBSITE<a href="http://www.trigeminalneuralgia.in/">TRIGEMINAL NEURALGIA</a>Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-47498380006022224462010-02-21T06:07:00.000-08:002010-02-21T06:07:40.213-08:00Email<strong>email : </strong><a href="mailto:gamma@gammaknifeonline.in"><strong>gamma@gammaknifeonline.in</strong></a><br />
<br />
<div class="separator" style="clear: both; text-align: center;"><a href="http://3.bp.blogspot.com/_E_VeZqoJQ4E/S4E-G67UJ9I/AAAAAAAAAXk/grX6yROFQZQ/s1600-h/emailIcon.png" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" ct="true" src="http://3.bp.blogspot.com/_E_VeZqoJQ4E/S4E-G67UJ9I/AAAAAAAAAXk/grX6yROFQZQ/s320/emailIcon.png" /></a></div>Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com1tag:blogger.com,1999:blog-3630882697819980081.post-83538744964070795882010-02-19T06:06:00.000-08:002010-02-19T06:06:34.536-08:00Diagnosis of Trigeminal NeuralgiaIn addition to a thorough history and physical examination, magnetic resonance imaging (MRI) of the brain is recommended. This procedure helps identify a brain tumor in the rare cases in which it is present along with Trigeminal Neuralgia . It may also help to diagnose multiple sclerosis. Often when the MRI is performed, some contrast material is injected into the vein so that the appearance of a small tumor, blood vessel, or other structures in the brain can be enhanced and made easier to detect.Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-72013209490553667972010-02-19T06:03:00.000-08:002010-02-19T06:03:45.956-08:00Trigeminal Neuralgia<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjo_bs6Uv7RiWGSKcVq77eZMEZnG5UyiY3i1hgqoszJUubdhHuJGaKwrhyyy-UN2FwfEJBd7U-PlQNyvuv9LPRbx-ZP6DMkvfSYacVhOSuwa9zBaMhi8UUFQPd_8-mVo8P9ZQdhDBJUC0Su/s1600-h/Trigeminal.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" ct="true" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEjo_bs6Uv7RiWGSKcVq77eZMEZnG5UyiY3i1hgqoszJUubdhHuJGaKwrhyyy-UN2FwfEJBd7U-PlQNyvuv9LPRbx-ZP6DMkvfSYacVhOSuwa9zBaMhi8UUFQPd_8-mVo8P9ZQdhDBJUC0Su/s320/Trigeminal.jpg" /></a></div>Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-91530198459538103402010-02-19T06:02:00.000-08:002010-02-19T06:02:26.466-08:00Gamma Knife for Trigeminal Neuralgia<strong><em>Gamma Knife Radiosurgery</em></strong> is a method for treating certain problems in the brain without making an incision. Two hundred-one beams of cobalt-60 radiation are focused precisely on a specific region in the brain. <strong>In the case of TN</strong>, the target area is the trigeminal nerve, just where it leaves the brain. The treatment does not require general anesthesia, and the patient stays in the hospital for less than five hours.<br />
<br />
Any patient with <strong>trigeminal neuralgia</strong> who has pain or has difficulty with the medicines used to relieve the pain is an excellent candidate for GKRS. The patient's age or medical condition <strong>does not affect</strong> the decision to have GKRS. Even the elderly or medically infirm can undergo this treatment. Patients who are receiving anticoagulants for other medical conditions do not have to stop or reverse the anticoagulation therapy prior to GKRS. Those who have had previous procedures for TN may also undergo <strong>GKRS.</strong> Patients who are concerned about the possibility of numbness are particularly good candidates for GKRS, because the chance of postoperative numbness occurring is very small. Patients who poorly tolerate medicines given for sedation and relief of pain during a procedure are also very suitable for GKRS because these medications are not necessary.<br />
<br />
<a href="http://www.gammaknifeonline.in/">Gamma Knife for Trigeminal Neuralgia</a>Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-55594073093856191372010-02-19T05:49:00.000-08:002010-02-19T05:49:41.334-08:00Symptoms of Trigeminal NeuralgiaThe disorder is characterised by episodes of <strong>intense facial pain</strong> that usually last from a few seconds to several minutes or hours. The episodes of intense pain may occur paroxysmally. To describe the pain sensation, patients may describe a trigger area on the face, so sensitive that touching or even air currents can trigger an episode. It affects lifestyle as it can be triggered by common activities such as eating, talking, shaving and toothbrushing. The attacks are said by those affected to feel like stabbing electric shocks, burning, pressing, crushing, exploding or shooting pain that becomes intractable.<br />
<br />
Individual attacks usually affect one side of the face at a time, lasting from several seconds to a few minutes and repeat up to hundreds of times throughout the day. The pain also tends to occur in cycles with remissions lasting months or even years. 10-12% of cases are bilateral, or occurring on both sides. This normally indicates problems with both trigeminal nerves since one serves strictly the left side of the face and the other serves the right side. Pain attacks typically worsen in frequency or severity over time. Many patients develop the pain in one branch, then over years the pain will travel through the other nerve branches.<br />
<br />
Outwardly visible signs of TN can sometimes be seen in males who may deliberately miss an area of their face when shaving, in order to avoid triggering an episode. Successive recurrences are incapacitating and the dread of provoking an attack may make sufferers unable to engage in normal daily activities.Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-47028683265894461682010-02-11T19:54:00.000-08:002010-02-11T19:54:44.765-08:00Trigeminal Neuralgia CausesSeveral theories exist to explain the possible causes of this pain syndrome. It was once believed that the nerve was compressed in the opening from the inside to the outside of the skull; but newer leading research indicates that it is an <i><b>enlarged blood vessel</b></i> - possibly the superior cerebellar artery - compressing or throbbing against the microvasculature of the trigeminal nerve near its connection with the pons. Such a compression can injure the nerve's protective myelin sheath and cause erratic and hyperactive functioning of the nerve. This can lead to pain attacks at the slightest stimulation of any area served by the nerve as well as hinder the nerve's ability to shut off the pain signals after the stimulation ends. This type of injury may rarely be caused by an aneurysm (an outpouching of a blood vessel ); by a tumor ; by an <i><b>arachnoid cyst</b></i> in the cerebellopontine angle <sup class="reference" id="cite_ref-5"><a href="http://www.blogger.com/post-create.g?blogID=3630882697819980081#cite_note-5"><span></span><span></span></a></sup>; or by a traumatic event such as a car accident or even a tounge piercing.<sup class="reference" id="cite_ref-urlTongue_piercing_brings_on_.E2.80.98suicide_disease_-_The_Globe_and_Mail_6-0"><a href="http://www.blogger.com/post-create.g?blogID=3630882697819980081#cite_note-urlTongue_piercing_brings_on_.E2.80.98suicide_disease_-_The_Globe_and_Mail-6"><span></span><span></span></a></sup><br />
A large amount of multiple sclerosis patients have TN, but not everyone with TN has MS. Only two to four percent of patients with TN, usually younger, have evidence of <i><b>multiple sclerosis</b></i> , which may damage either the trigeminal nerve or other related parts of the brain. It has been theorized that this is due to damage to the spinal trigeminal complex<sup class="reference" id="cite_ref-pmid19171430_7-0"><a href="http://www.blogger.com/post-create.g?blogID=3630882697819980081#cite_note-pmid19171430-7"><span></span><span></span></a></sup><sup> </sup>. Trigeminal pain has a similar presentation in patients with and without MS.<sup class="reference" id="cite_ref-pmid15926016_8-0"><a href="http://www.blogger.com/post-create.g?blogID=3630882697819980081#cite_note-pmid15926016-8"><span></span><span></span></a></sup><br />
<i><b>Post herpetic Neuralgia</b></i> , which occurs after shingles , may cause similar symptoms if the trigeminal nerve is damaged.<br />
When there is no structural cause, the syndrome is called <b style="color: black;"> <i>Idiopathic</i> .</b><br />
<br />
<b style="color: black;"><a href="http://www.gammaknifeonline.in/gamma_knife_for_trigeminal_neuralgia">http://www.gammaknifeonline.in/gamma_knife_for_trigeminal_neuralgia</a> </b>Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-28075933045675878962010-02-11T19:00:00.000-08:002010-02-19T05:50:55.389-08:00Trigeminal Neuralgia<div style="color: black;"><b>Trigeminal neuralgia (TN)</b>, <b><i>tic douloureux</i></b><sup class="reference" id="cite_ref-Bolognia_0-0"><a href="http://www.blogger.com/post-create.g?blogID=3630882697819980081#cite_note-Bolognia-0"></a></sup> (also known as prosopalgia) is a neuropathic disorder of one or both of the trigeminal nerves . Its nickname is "the suicide disease"<sup class="reference" id="cite_ref-1"><a href="http://www.blogger.com/post-create.g?blogID=3630882697819980081#cite_note-1"></a></sup> because of severe associated pain , and the fact that it is not easily controlled or cured. It causes episodes of intense pain in any or all of the following: the ear, eye, lips, nose, scalp, forehead, teeth or jaw on one side and alongside of the face.<sup class="reference" id="cite_ref-2"><a href="http://www.blogger.com/post-create.g?blogID=3630882697819980081#cite_note-2"></a></sup> It is estimated that 1 in 15,000 people suffer from trigeminal neuralgia, although the actual figure may be significantly higher due to frequent misdiagnosis. </div><div style="color: black;"><br />
</div><div style="color: black;">TN usually develops after the age of 50, more commonly in females, although there have been cases with patients being as young as three years of age <sup class="reference" id="cite_ref-3"><a href="http://www.blogger.com/post-create.g?blogID=3630882697819980081#cite_note-3"></a></sup>.</div><div style="color: black;"><br />
</div><div style="color: black;">TN brings about stabbing, mind-numbing, electric shock-like pain from just a finger's glance of the cheek or spontaneously without any stimulation by the patient. Cold wind, high pitched sounds, loud noise such as concerts or crowds, chewing, talking, can aggravate the condition, and for the worst cases, even smiling, a scarf, the wind or hair on the side of the face is too much to bear.</div><div style="color: black;"><br />
</div><div style="color: black;"><a href="http://www.gammaknifeonline.in/gamma_knife_for_trigeminal_neuralgia">http://www.gammaknifeonline.in/gamma_knife_for_trigeminal_neuralgia</a> </div>Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0tag:blogger.com,1999:blog-3630882697819980081.post-11441184998996085682010-02-11T18:38:00.000-08:002010-02-11T18:38:01.894-08:00Trigeminal Neuralgia<div class="separator" style="clear: both; text-align: center;"><a href="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhH4QLLXVe2rYINMuoLAbVswtgiBfV55N_iLMadUaQlkEfusfLrDCckW4ruc4cvgr6z0V2IAH3hHzoLGp_SzFVttu4BD2y_2fO6JcmQg8Vup47YYtk5jmG8LMVU9-7TmujsJhOCEZCqpFEN/s1600-h/gamma+knife.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="https://blogger.googleusercontent.com/img/b/R29vZ2xl/AVvXsEhH4QLLXVe2rYINMuoLAbVswtgiBfV55N_iLMadUaQlkEfusfLrDCckW4ruc4cvgr6z0V2IAH3hHzoLGp_SzFVttu4BD2y_2fO6JcmQg8Vup47YYtk5jmG8LMVU9-7TmujsJhOCEZCqpFEN/s320/gamma+knife.jpg" /></a> </div><div class="separator" style="clear: both; text-align: center;"><br />
</div><div class="separator" style="clear: both; text-align: center;"><a href="http://www.gammaknifeonline.in/gamma_knife_for_trigeminal_neuralgia">http://www.gammaknifeonline.in/gamma_knife_for_trigeminal_neuralgia</a></div><div class="separator" style="clear: both; text-align: center;"><br />
</div><div class="separator" style="clear: both; text-align: center;"><br />
</div>Anonymoushttp://www.blogger.com/profile/15098934856261361976noreply@blogger.com0