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Disease TRIGEMINAL NEURALGIA
   
Quotation “Our profession after all deals partly with guess work, we do not deal in absolutes”
   
Definition Severe repeated lancinating pain (‘like electric shock’) in one half of face over distribution of a facial branch of trigeminal nerve, mostly of 2nd or 3rd divisions.
   
Prognosis Most patients tend to have exacerbations and remissions lasting several months at a time. The majority respond adequately to oral durgs.
   
Advice to Patient Instruction on side effects of drugs. Not to  drive vehichles or machinery until CNS effects of drugs are known.
   
Follow Up CBC, and liver function monitoring on patients on carbamezapine.
   
Inadequate Response May have to consider surgery, if full doses of drugs fail to give relief.
   
Reference From Website: www.medical-library.org/journals2a/trigeminal_neuralgia.html
   

 

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