Trigeminal neuralgia

What is the smallest division of CN 5?

ophthalmic nerve V1

V1 will travel through the ____ sinus and exit the skull through what?

Cavernous sinus

Superior orbital fissure

What division of CN 5 supplies bridge/side of nose, upper eyelid, forehead, scalp to vertex?

V1

What division of CN 5 gives rise to middle meningeal nerve to dura?

Maxillary division V2

CN 5 V2 will travel through the ______ sinus and the exits the skull through what?

Cavernous sinus

Foramen rotundum

What division of CN 5 will supply cheek, lateral forehead, side of nose, upper lip, and upper teeth and gums?

V2

What is the aka for trigeminal neuralgia?

tic douloureux and fothergill's neuralgia

What is the mc disorder that affects the sensory function of CN 5?

Trigeminal neuralgia

What causes a sudden fleeting but excrutination attack of unilateral facial pain?

Trigeminal neuralgia

What divisions are involved in Trigeminal neuralgia?

V2 and V3

What type of pain lasts seconds to minutes, but may occur multiple times a day?

Lancinating pain (associated with trigeminal neuralgia)

What is something that provoke pain for trigeminal neuralgia, such as wind in the face, talking, or chewing?

Trigger zone

Who can you tell where a male trigger point is?

What about female?

Unshaved

No make up

T/f: patients may be reluctant to have a neurological exam with Tic Douloureux of involved area for provoking fear.

T

Do patients with trigeminal neuralgia have clinical motor or sensory deficits?

Neither

T/f: Trigeminal neuralgia (tic douloureux) can spontaneously remit and reappear.

T

TN is idiopathic but in some case it is linked to what?

CN V compression by aberrant arterial loop of basilar artery

Who is most at risk for trigeminal neuralgia?

Patients with MS (demylination of CN 5)

ESPECIALLY IF BILATERAL