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What Are The Ways To Prevent Trigeminal Neuralgia?
To forestall trigeminal neuralgia ( TN ) the precise campaign of trigeminal neuralgy should be know . But still , the accurate pathogenesis of trigeminal neuralgy is not known wholly . There are some possibility that trigeminal neuralgia pass due to abnormalities in the afferent nerves of the trigeminal root or ganglion and damage to the axons can make the neuron hyperexcitable . Another theory is vascular condensation by blood vessels near the trigeminal nerve root can press , damage or irritate the boldness .
bar is hard without cognise the exact pathology or drive / s.
Studies have identify various triggering factors for trigeminal neuralgia such as :
So , adjusting your trigger off agent / entropy to some extent might cut the onslaught of trigeminal neuralgy after diagnosis . However , not all triggering broker can be adjusted as most of these are normal daylight to 24-hour interval action .
After you key out an military action as a touch off divisor seek to change its pace or manner of doing it and see if that prevents a trigeminal neuralgia attack.(1 )
Does Trigeminal Neuralgia Recur?
The first - line intervention for trigeminal neuralgia is medical therapy with drugs such as anticonvulsant drug and antispasmodic drugs . The success rate is about 80 - 90 % . However , tolerance occurs and patients postulate high doses and experience side effects so , many stop drug and go for surgical options . The surgical options are microvascular decompression ( MVD ) , radiosurgery and radiofrequency lesioning .
Trigeminal neuralgia recurs with even after operative operation , no surgical selection guarantee 100 % succeeder , there are several case cogitation on this issue .
A study perform an electronic search from 1988 to 1998 on cases treated with MVD due to venous blood vessel . There were 393 patient and 122 ( 31 % ) patients sound off of recurrence and 32 out of this recurrent patients have undergone reoperation . accord to their findings , repeated trigeminal neuralgia was seen more in female person , the age stray from 15 - 80 year with a prepotency in the 7th ten . 75 % of the recurrent patient role experienced recurrence within one year after the 1st operation . During the second MVD operation , young veins were seen around the ascendant of the trigeminal cheek in 87.5 % of patient thus , the cause of the recurrence was the regrowth and development of novel veins . After the second operation pain was ameliorate in 81.3 % of patients .
This is another study done on recurrent trigeminal neuralgia after MVD . ab initio , 82 patients underwent MVD with interfere Teflon and 14 ( 17.1 % ) patients had a recurrence and 6 patients with severe symptom undergo reoperation . For all 6 cases , a different proficiency was used ( sling retraction ) as adhesion from the interposed Teflon was the reason for the recurrence in all lawsuit . All 6 type improved and have not experience botheration for the follow - up time period of 2 years . The field of study conclude that MVD with interfere technique could cause return therefore , to use sling retraction even for the initial MVD operation.(2 ) ( 3 ) ( 4 ) ( 5 )
Conclusion
study have identified some triggering factors for trigeminal neuralgy such as : Gently touching the face , talking , chewing , tooth brushing , washing the typeface , feeding , swallowing , drinking , dry the fount , shaving , jaw movement , blow the nose , and red-hot or moth-eaten food/ water . After you identify an action as a triggering broker endeavor to deepen its pace or way of doing it and see if that prevents a trigeminal neuralgia onrush . The first - line treatment for trigeminal neuralgia is drug but due to margin and side effects then patients move onto surgical selection . Even after operative therapy recurrence can occur . According to one study , repeated trigeminal neuralgia was seen more in females , with a predominance in the 7th decade and the majority of cases pass within the first twelvemonth . The recurrence depends on the causal agent of trigeminal neuralgy , treatment method , and proficiency used and the experience of the medico . No treatment options guarantee 100 % succeeder
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