How does trigeminal neuralgia check?

summary

Trigeminal neuralgia is the most common brain disease. The main causes of recurrent severe paroxysmal pain are the recurrent facial paralysis in one side of the facial trigeminal nerve. The incidence rate of 52.2/10 is 10 million in China and slightly more than that in men. The incidence rate of this disease can increase with age. Trigeminal neuralgia mostly occurs in middle-aged and elderly people, and the right side is more than the left side. How does that trigeminal neuralgia check?

How does trigeminal neuralgia check?

The examination of motor system is to check the movement of masseter muscle, temporalis muscle, lateral pterygoid muscle and medial pterygoid muscle. Because the masticatory muscle group ends in the mandible, it is under the control of the motor branch of trigeminal neuralgia, and it is involved in chewing, speech movement, etc., and to a certain extent, it also participates in the expression of expression. Once the masticatory muscle lesions, there will be facial hypertrophy, mandibular deformation and other facial symptoms.

In the examination of the reflex system, the function of the nervous system is very complex. Its basic mode of activity is reflex. In the human body, there are many reflex, such as the trigeminal sensory nucleus, which can send out many secondary fibers. In addition to reaching the thalamus, it mostly falls or rises in the ipsilateral reticular formation, and its collateral branches and termination end up in the motor nucleus of the brain nerve, and form many reflex arcs.

Sensory system examination: this examination is the first examination, that is, the examination of facial skin sensation. Due to the distribution of sensory branches of trigeminal nerve, check whether the sensory root of trigeminal nerve is thick. The cell body is concentrated in the trigeminal semilunar ganglion, and three thick branches are sent out from the semilunar nerve. Check these three thick branches: maxillary branch, ophthalmic branch and mandibular branch.

matters needing attention

The characteristics of the disease are: in the distribution area of trigeminal nerve in the head and face, sudden onset, sudden stop, lightning like, knife like, burning like, intractable, intolerable severe pain. Speaking, washing face, brushing teeth or breeze, and even walking can cause severe pain when paroxysmal. The pain lasted for several seconds or minutes, the pain appeared periodic attack, the intermission was the same as normal people.