У нас вы можете посмотреть бесплатно Trigeminal Neuralgia: Symptoms, Diagnosis and Treatment или скачать в максимальном доступном качестве, видео которое было загружено на ютуб. Для загрузки выберите вариант из формы ниже:
Если кнопки скачивания не
загрузились
НАЖМИТЕ ЗДЕСЬ или обновите страницу
Если возникают проблемы со скачиванием видео, пожалуйста напишите в поддержку по адресу внизу
страницы.
Спасибо за использование сервиса ClipSaver.ru
In this episode we host Dr. Mazda K. Turel. Dr Mazda is a practicing Neurosurgeon at the prestigious Wockhardt Hospital, South Mumbai, India. He is also an Honorary Assistant Professor of Neurosurgery at the Grant Medical College and Sir J.J. Groups of Hospitals. He specializes in the treatment of diseases of the brain and spine and advocates an approach to neurosurgery that is both balanced and proactive. Key Topics covered are: 1. What is Trigeminal Neuralgia? 2. Symptoms and signs of Trigeminal Neuralgia. 3. Causes and Diagnosis of Trigeminal Neuralgia. 4. Treatment approaches to Trigeminal Neuralgia – Medicine based treatment, Radiosurgery and Neurosurgery. #TrigeminalNeuralgia #TrigeminalNerve #FacePain #FacePainTreatment #TicDouloureux Visit https://www.drstories.com/ to listen and learn from top surgeons and doctors. Facebook: / mydoctorstories Disclaimer:https://www.drstories.com/disclaimer/ Short Transcript: Vivek:Why is it also called Tic douloureux? Dr. Mazda:Yeah, everybody knows what a tick is. It’s a constant kind of movement that people make and doulour is pain. So sometimes a kind of tick develops in a patient because of the pain that’s uncontrolled facial twitching and this kind of pain actually interferes in the patient’s life in many aspects. And sometimes this may be just a brief second, or sometimes this may go on for a minute or so. And it comes in repeated waves and sometimes if it likes, lasts for an hour, it seems to people like it’s a nervous tick. So in the past, when people really didn’t know about this condition but later on, they really figured out what exactly was in it, what is it due to. It’s primarily due to a blood vessel in the brain in the back of the head that pinches upon the trigeminal nerve that when it pulsates, it tends to irritate the trigeminal nerve and that irritation causes this lancinating kind of pain. Vivek:What are the symptoms for trigeminal neuralgia ? Dr. Mazda:So like I said, patients describe these attacks as either pins and needles sensations, some kind of irritation, burning, jabbing, an electric shock like pain that lasts from a few seconds to a few minutes. And it’s important to know that even everyday activities can trigger these pains. Patients are sensitive in certain areas of the face, we call these areas, trigger zones. And when touched, even when the air hits, they can have immense pain and these trigger zones can be near the lips, the eyes and like I said, because once it becomes gradually severe and intense, patients even avoid talking, eating, kissing, drinking like activity. Even shaving sometimes can trigger pain. So it’s important to ask patients for these triggers. It’s important to ask patients for the nature of the pain, is it a shock like sharp lancinating pain? It’s usually only on one side of the face, very rarely, on both sides of the face. If you have pain on both sides of the face, then you have to think of a differential diagnosis, you have to think of something different if the pain is not sharp, but it’s a dull pain, so less intense pain, if it’s just, you know, burning or an aching pain, and it’s not sharp then this falls into the category of a typical facial pain that’s, in fact, not only more difficult to treat, but more difficult to diagnose. So, in these conditions, the input of a dentist to make sure that it’s not something local, is also very valuable. Vivek:What causes Trigeminal Neuralgia? Dr. Mazda:So there are a lot of theories that cause trigeminal neuralgia, but basically, the trigeminal nerve has a covering, every nerve has a protective covering and over time either because of contract or because of disease of the nerve or any of those things, the covering gets damaged or eroded. So, age is a factor that attributes to it. You see this condition commonly in the 50s to 70s that is the predominant age group. Sometimes conditions that affect the nerve, like multiple sclerosis, or demyelination can present with trigeminal neuralgia, tumors in the area of the trigeminal nerve can irritate the nerve and present as trigeminal neuralgia. This is termed as secondary trigeminal neuralgia, but primary trigeminal neuralgia when is caused by a blood vessel, it could either be an artery or a vein or a combination of an artery or vein that physically compresses the trigeminal nerve irritating it and that’s the most common version of trigeminal neuralgia that we know. Present in 85% of cases. But it’s very important to rule out that this kind of pain is not coming from an infected tooth, it’s not coming from a sinus infection. It’s not herpetic neuralgia, or any kind of previous nerve injury. So you have to be very thorough in your analysis, because it’s not a very common condition and affects only about four or five people in every hundred thousand people. Women generally tend to be affected more than men. So it’s very important to have a background of what kind of demographic you’re dealing with.