Painful face syndrome

Painful face syndrome's disease overview

Facial pain syndrome includes diseases that cause pain in the skull, bottom of the skull and facial area. Pain of face pain due to many causes related to the nerves of the face such as nerves V, IX, X. In which nerve V dominates the feeling of sinuses, face, skin area head, bottom of skull. IX, X wire dominates the throat and ear areas. Nervous pain V is more common than IX, x.

nerve v is a mixed nerve. The mobilization branches of the V wire dominate all chewing muscles, while its sense branches dominate the sensations of the areas on the face and oral cavity. In the peripheral nerve V is divided into 3 main branches: the two branches above have only sensory wires, while the third branch includes the sense and exercise branches.

Damage pain is much less common than the V wire pain is only 1/70-100 pain V, common in adults> 60 years old.

Pain in the face is a chronic pain that greatly affects life, causing prolonged fatigue, reducing serious life quality. Initially symptoms of nerve pain in the face causing pain syndrome may have dull pain, short pain time, sparse pain but then it can progress and cause longer pain, More often, can cause intense pain in women. Currently, there are many treatments that bring pain effects, significantly reduce pain symptoms, so it is necessary to detect and diagnose the cause of the face pain syndrome to have effective treatments. P>

Causes of Painful face syndrome's disease

Causes of inflammation, infection, tumor: central-brain-brain or peripheral nerves: about blood vessels, tumors in the meningeal-brain in the brain area ( Wallenberg syndrome) Brain, pituitary area, stone bone top area (Willis syndrome, Gradenigo), bone disease, blood vessels, ornamental aneurysms, chronic meningitis (RAEDER syndrome), Eye-tumor tumor-eye-eyed (Tolosa-Hunt syndrome), sinusitis blockage (stone bone peak syndrome), nasopharyngeal dome tumor, eye sockets-primary, secondary (butterfly slot syndrome ), causes of intracranial pressure.

ENT (inflammation of the sinus cavity of Migraines syndrome), Amydale, ears, tuberculosis, ENT cancer (difficult to pronounce, hard to swallow), Eagle syndrome or atrial pain Due to compression of the wire due to overeating the brooch or calcium to the nail ligament. These abnormalities may be due to the consequences of trauma or after tongue cutting.

Eye: Eye infections

Odonto -teeth: tooth decay, periodontitis, tumor, ..

Facial injury is a clear and easy -to -defined cause, also due to inflammation and degeneration of nerves sometimes very difficult to identify or these two types combine with the same manifestation that manifests that Clinically is almost the same.

Other: Facial vascular disorders caused Syndrome of the facial vascular pain , headache due to blood pressure, due to changes in living habits Work.

Symptoms of Painful face syndrome's disease

Facial pain caused by nerves that can include one or more of the following symptoms:

Peracental pains like a knife or may feel like an electrolyte

Spontaneous pain or attacks are activated by things like touching the face, chewing, saying or brushing teeth

The pain lasts from a few seconds to a few minutes

There may be persistent pain, lasting for days, weeks, months or longer - Some people have time when they don't feel pain

Continuous pain, a burning sensation may occur before it progresses into a painful pain of the nerve pain in the triangle.

Pain in areas provided by triple nerves, including cheeks, jaws, teeth, gums, lips, or less often than eyes and forehead

Pain affects one side of the face at a time, although it can rarely affect both sides of the face

Pain concentrated at one point or spread in a broader model

attack becomes more frequent and intense over time

Symptoms of neuralgia IX, X

Pain similar to pain, pain.

usually one side, usually on the left. Close to Amydal, at the outer ear canal, the bottom of the tongue, spread towards the ear and the jaw angle.

The localized form of geography may be in the form of ear infections or eardrum inflammation. The onset area is the throat mucosa and the Amydal region, when swallowing, coughing, turning the head, very rare pain to speak, open mouth and never pain when chewing as in the face pain.

Pain may be accompanied by cough, increased salivation, arrhythmia (fainting, hypotension).

People at risk for Painful face syndrome's disease

Facial injury

Inflammation related to the face, head, pharynx

Tumors of the head, face, throat

Age> Age

Prevention of Painful face syndrome's disease

Thoroughly treat inflammation of the head, face, and throat to avoid complications that cause neuritis in the face of the face

Diagnostic measures for Painful face syndrome's disease

Diagnosis of triple neuralgia is mainly based on your description of the pain, including:

Sudden pain in the short time

Painful location: The parts of your face are affected by the pain will indicate if the nerves are related.

The circumstances of appearance: The pain is often caused by the slight stimulation of your cheek, such as from eating, talking or even having a cool breeze.

neurological examination. Touching and checking the parts of your face can help your doctor determine the exact position of the pain, thereby helping to guide the cause of the pain in the nervous branch

Diagnosis is based on subclinical tests to determine the cause of facial pain syndrome

Magnetic resonance imaging (MRI) determines whether multiple sclerosis or tumors cause nerve pain. In some cases, the doctor may inject the dye into the blood vessel to see the arteries and veins and highlight the blood flow (magnetic resonance angiography).

Other tests such as: Computer -layer cutting, infection tests may be positive if due to inflammation

Painful face syndrome's disease treatments

Treatment of pain causes if infections, tumors in the intracranial, eyes, molars, ear, nose and throat. Including medical treatment and surgical treatment. Medical treatment is mainly symptomatic treatment. However, some people may respond poorly to the drug or may experience uncomfortable side effects so for these people can be injected or surgical.

Drugs

to treat nerve pain V, IX, X can be used to reduce or block symptoms of pain spread to the brain:

Anti -seizure drugs: Carbamazepine group (Tegretol, Carbatrol, others) to treat triple neuralgia and it has been shown to be effective in treating diseases. Other anti -convulsions may be used to treat triple neuralgia including oxcarbazepine (trileptal), Lamotrigine (Lamictal) and Phenytoin (Dilantin, Phenytek). The side effects of anti -convulsions may include dizziness, confusion, drowsiness and nausea.

Mechanical relaxation drugs like Baclofen (Gabloofen, Lioresal) can be used alone or in combination with carbamazepine. Side effects may include confusion, nausea and drowsiness.

Botox injection. Small studies have shown that onabotulinumtoxina (botox) injection can reduce pain due to triple nerve pain in people who are no longer helped by drugs. However, further research is needed before this treatment is widely used for this condition.

Surgery

The main surgery is the triple nerve surgery. Surgical options for triple neuralgia include:

Microchip extract: This method is related to moving or removing blood vessels in contact with three -leaf roots to prevent nerves from being malfunctioned. If the vein is pinching nerves, the surgeon can remove it. Doctors can also cut part of the triple nerve (nerve surgery) in this procedure if the arteries do not press the nerves. Most of the microchip decompression time can be removed or relieved pain successfully, but the pain may recur in some people. Microchip extract has a number of risks, including hearing loss, facial muscles, face numbness, stroke or other complications. Most people with this procedure do not have numbness afterwards.

Surgery for brain radiation surgery (gamma knife): The surgeon directs a dose of radiation to focus on the root of the triple nerve, which uses radiation to do it to do Triple nerve damage and decreased or eliminating pain. Cerebral radiology is successful in eliminating pain for most people. The face can be a side effect.

Glycerol injection. The doctor will inject a small amount of sterile glycerol, causing triple nerve damage and blocking pain signals, this method often reduces pain. However, some people suffered from recurrent pain and many people have numbness or tingling.

Compress the ball. In the process of compressing the ball, the doctor will bring an empty needle over your face and direct it to a part of the triple nerve passing through the bottom of the skull, then thread a thin, flexible tube (catheter) with one with one The ball at the top of the needle. The doctor will inflate the ball with enough pressure to damage the triple nerve and block the pain signal. Successfully compressed the ball to control pain in most people, at least for a period of time. Most people go through this procedure through at least some fleeting pangolin.

Use heat frequency: Selective destruction of nerve fibers related to pain, stabbing an empty needle to a part of the triple nerve passing through an open hole at the bottom Your skull. When your nerve surgeon determines a part of the nerve related to the pain. The electrode is then heated until it damages the nerve fibers, creating an area of damage (damage). If your pain is not removed, the doctor may create more damage. Heat damage due to radio frequency often leads to some temporary pangolin after the procedure. Pain may return after three to four years. Other treatments

Acupuncture,

Biological response

Spinal and vitamins or nutritional treatments.

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