Monday 22 November 2010

MRCP revision battle 57.6: Trigeminal neuralgia

Trigeminal neuralgia is intense stabbing pain in the trigeminal root distribution.

It is unilateral and tends to affect the mandibular or maxillary divisions

Most common in females over 50.

Over 1 in 10 cases will be secondary (to aneuysm, tumour) so ?MRI

Treatment is carbamazepine