Neuritis of the trigeminal nerve: symptoms and treatment
The tee nerve is one of the largest cranial nerves that extend to the area of the teeth and face. As neuritis of the trigeminal nerve, it is customary to define nothing other than inflammation of this nerve, which is accompanied by characteristic pain sensations along its branches. In addition to this manifestation, paresis (ie, incomplete paralysis), paralysis complete, as well as a general loss of sensitivity, also become relevant. The neuritis of the trigeminal nerve, the symptoms of the main type of which we indicated, can be caused by the influence of a variety of factors.
Causes of trigeminal neuritis
Among the reasons that contribute to such a disease as trigeminal neuritis, we can note, for example, infectious diseases of a very different type. This may include tuberculosis and common influenza, syphilis and other types of these diseases. In some, although rare enough cases, the appearance of neuritis can contribute to chronic inflammatory processes that form in the area of the maxillary sinuses, eye sockets, gums and teeth.
Also, a separate item should be identified and such factors as toxic poisoning, hypothermia and traumatic factors that can also affect the trigeminal nerve damage.
Trigeminal neuritis: symptoms
The main symptom in the general clinical picture are shooting, burning and sharp pains, which are strongly pronounced in view of the peculiarities of their manifestation. In most cases, lesions are relevant for the second branch in the trigeminal nerve, with this branch innervating the skin in the lower eyelid, upper lip, lateral surface of the nose, gums and teeth in the upper jaw area. Fewer lesions occur in the third branch, even more rarely in the first branch of the trigeminal nerve.
The pain experienced by the patient is of a paroxysmal nature, and the duration of seizures may be as few seconds or several minutes. Often, seizures last for an hour with alternating occurrence at small time intervals. Pain spreads throughout the entire face, accompanied by tearing, redness, and discharge from the nose.
Quite often among the symptoms there are also tick-like abbreviations that arise in the area of individual groups of facial muscles. There is also hypersalivation, expressed in increased salivation, and rhinorrhea, which is manifested in increased lachrymation. Chewing muscles are characterized by frequent convulsions.
In general, the pain in the number of symptoms can have a characteristic and uncharacteristic specificity.
- Pain characteristic with inflammation is heterogeneous and impermanent in nature. In this case, the patient can both completely stop feeling pain, and feel it in double reinforcement. Its sharpness and specificity can be compared almost with the defeat of electricity.
- Pain uncharacteristic lasts throughout the time of inflammation. It has not too strong character of the action, but it is not called weak either. Affects this pain is a much larger area of the area than the pain characteristic, while the treatment of pain in this version of it is more difficult.
In any of the options, neuritis is characterized by a change of states from deterioration to improvement. The course of this type of inflammation is similar to any chronic disease.
Neuritis of the trigeminal nerve, the symptoms of which are expressed in symptomatic pain, can be manifested by laughing or chewing, touching and changing the temperature that is relevant to the environment. Patients who face such a pathology, trying not to allow a repeat of the attack, tend to the least mobility, conversations and other actions of a standard nature (brushing teeth, shaving, washing, etc.).
Treatment of neuritis of the trigeminal nerve
When considering the treatment of this disease, it remains to be seen that it, as such, does not exist. Given the symptomatic nature of neuritis, the main task is reduced to reducing the risk of a subsequent attack. Ideally, of course, the actions also provide for the removal of the pain syndrome. Among the drugs prescribed for neuritis, usually antiepileptic, analgesic and anti-inflammatory types are prescribed. In addition, biostimulants, as well as vitamins (predominantly corresponding to group B) are recommended for use.
Among the procedures that are designed to alleviate the general condition of the patient, physiotherapeutic procedures are also prescribed. These include darsonvalization, acupuncture, ultraviolet irradiation. Cases in a more serious form of the disease require the use of X-ray therapy, alcohol and Novocain blockades.
It is not superfluous to note that the treatment of neuritis in this form of it directly determines the cause of the disease. So, if it is an infection, then, first of all, treatment should be directed at its destruction in the body, and only after that — to take measures to relieve pain and eliminate inflammation. In the event that the occurrence of the disease has contributed to the reception of a bruise, medications, aimed at eliminating pain and inflammation, and, in some cases, removing excess fluid from the body, are mandatory. For example, inflammation well removes ibuprofen, releasing the same fluid from the body contributes furosemide.
To diagnose and determine the optimal option for relieving trigeminal neuritis and alleviating its symptoms, you should consult a neurologist.