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Nerve pain is a specific type of pain, usually comes on suddenly for a short time. This is a rare disease, so not many people understand what the cause of nerve pain is?1. Overview of Nerve Pain V
V nerve, also known by other names such as trigeminal nerve, trigeminal nerve is known to be one of the important nerves in the facial area. Accordingly, nerve V is divided into 3 branches: maxillary, mandibular and eye branch. These nerve branches take on the role of transmitting sensations from the face, around the mouth, teeth to the brain. In addition, producing tears or saliva and controlling chewing muscles are also the tasks of the 5th nerve.
5th nerve pain is a specific type of pain, often appearing suddenly but very Heaviness on the side of the face, but only for a short time (no more than 1 minute). The pain can be spontaneous or stem from the trigger spot, which is the point where the trigger is stimulated.
Vị trí dây thần kinh số V
Most cases of 5th nerve pain are unilateral pain, only a few are bilateral pain, accounting for 3-6%. In the case of nerve pain on both sides, it does not appear from the head, but after a long time of pain on one side, pain appears on the other side. According to research, more than 70% of nerve pain cases occur in the elderly (usually people over 70 years old).
2. Causes of 5 neuralgia
Currently, scientists have not found the official cause of V nerve pain. However, based on the specific symptoms of the disease, the researchers determined the cause as follows:
Compression of blood vessels: This is the main cause of nerve pain V, they account for 60 % of cases due to the compression of the blood vessels to the Vth nerve at the nerve root, most commonly the superior cerebellar artery. However, the cause of blood vessels compressing the trigeminal nerve in old age has not been explained. Compressing tumors: One or more branches of the 5th nerve can be compressed and affected by tumors located in the vicinity of the pontine-cerebellar angulation or in the pons-cerebellar angulation such as: epidermoid cyst, metastatic malignant tumor (carcinoma), meningioma (meningioma), aneurysm (aneurysm),... Viral: Currently, there are studies showing that pain Specific Vth nerve (ticdouloureux) is caused by an insidious viral infection in the peripheral cranial nerve branches or in the Gasser ganglion. In addition to the above causes, the cause of nerve pain V can also be due to trauma, such as minor facial interventions (such as tooth extraction) or severe trauma such as fracture of the base of the skull as well. can lead to nerve pain V.
Virus có thể là nguyên nhân gây đau dây thần kinh số 5
3. How does the pain of the nerve No. 5 manifest?
The pain caused by 5th nerve pain usually has a sudden onset and is painful like being electrocuted or stabbed by a sharp object. The pain usually does not last long but only lasts a few seconds, but the interval between attacks is quite short, making the pain seem like it lasts a long time.
Recurrence of pain can occur at any time of the day without any rule. The condition can be determined based on the frequency of pain that the patient experiences.
The pain is spontaneous or can arise when experiencing stimuli such as washing the face, talking, chewing, touching the face, ... According to the International Headache Society (IHS), the criteria for diagnosis 5th neuralgia is paroxysmal frontal and facial pain lasting from a few seconds to no more than 2 minutes.
In addition to the above symptoms, usually the patient has no other serious symptoms, but some 5th nerve projection points may feel pain when pressed, such as: pain point below the orbit, pain point in the supraorbital orifice of the chin. This helps doctors diagnose and treat diseases more conveniently.
Người bệnh xuất hiện những cơn đau
4. Diagnosis and treatment of 5 neuralgia
In addition to the clinical manifestations, to accurately diagnose 5th nerve pain, the doctor will need to rely on the medical history, history and results of laboratory tests. When the clinical manifestations are not specific, the patient may be assigned to conduct magnetic resonance imaging or computed tomography to rule out other pathologies. Accordingly, 5th nerve pain can be treated medically or surgically:
Medical treatment: Doctors may prescribe some neurotropic and psychotropic drugs. However, about 75% of cases will become addicted to the drug after a while and have to seek surgical treatment. Surgical treatment: When drug therapy is no longer effective or side effects appear, surgical procedures or interventions will be indicated such as percutaneous Gasser lymph node compression or microscopic decompression surgery. blood vessel,...
Chụp cộng hưởng từ giúp các bác sĩ chẩn đoán chính xác bệnh lý
In addition to the feeling of pain in the head and forehead, the pain of the 5th nerve often does not have any specific symptoms, when detected, the disease may have very dangerous complications, from which the treatment will not bring any results. high results. Therefore, annual medical examination is extremely necessary. Currently, Vinmec General Hospital deploys general health check-up packages to bring benefits to users, helping patients to detect and treat diseases at the earliest stage. To register for a health checkup package, you can contact us here.
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Characteristics of nerve pain V Common complications of trigeminal neuralgia Causes and treatment of inflammation, peripheral nerve pain
