• P. P. Physiotherapy center Larnaca

  • Prodromina Petrou

  • Trigeminal neuralgia (TN, or TGN), also known as prosopalgia,[1] or Fothergill's disease[2] is a neuropathic disorder characterized by episodes of intense pain in the face. The clinical association between TN and hemifacial spasm is the so-called tic douloureux.[3] It has been described as among the most painful conditions known to humankind.[4] The pain may be felt in the ear, eye, lips, nose, scalp, forehead, cheeks, teeth, or jaw and side of the face. The pain of TN is from the trigeminal nerve. The trigeminal nerve is a paired cranial nerve that has three major branches: the ophthalmic nerve (V1), the maxillary nerve (V2), and the mandibular nerve (V3). One, two, or all three branches of the nerve may be affected. 10–12% of cases occur on both sides of the face. Trigeminal neuralgia most commonly involves the middle branch (the maxillary nerve or V2) and lower branch (mandibular nerve or V3) of the trigeminal nerve.[5] TN is not easily controlled but can be managed with a variety of treatment options.[6] Carbamazepine is the first line treatment. It is estimated that 1 in 15,000 or 20,000 people have TN, although the actual figure may be significantly higher due to misdiagnosis. In most cases, TN symptoms begin appearing more frequently over the age of 50, although there have been cases with people being as young as three years of age. It is more common in females than males.[7] Trigeminal neuralgia was first described by physician John Fothergill and treated surgically by John Murray Carnochan, both of whom were graduates of the University of Edinburgh Medical School.

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