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Trigeminal neuralgia - Symptom

Alternative Names

Tic douloureux

Symptoms:

  • Very painful, sharp electric-like spasms that usually last a few seconds or minutes, but can become constant
  • Pain is usually only on one side of the face, often around the eye, cheek, and lower part of the face
  • Pain may be triggered by touch or sounds
  • Painful attacks of trigeminal neuralgia can be triggered by common, everyday activities, such as:
    • Brushing teeth
    • Chewing
    • Drinking
    • Eating
    • Lightly touching the face
    • Shaving

Signs and tests:

A neurologic examination is usually normal.

Tests that are done to look for the cause of the problem include:

  • Reviewed last on: 6/16/2010
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Daniel B. Hoch, PhD, MD, Assistant Professor of Neurology, Harvard Medical School, Department of Neurology, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Cutrer FM, Moskowitz MA. Headaches and other head pain. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 421.

Goetz CG, ed. Textbook of Clinical Neurology. 3rd ed. Philadelphia, Pa: WB Saunders; 2007.

Gronseth G, Cruccu G, Alksne J, Argoff C, Brainin M, Burchiel K, et al. Practice parameter: the diagnostic evaluation and treatment of trigeminal neuralgia (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology and the European Federation of Neurological Societies. Neurology. 2008;71:1183-1190.

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