Trigeminal neuralgia and bells palsy ( EXAM 1)

• -rare but most common nerve disorder
• -unknown but possibly from compression of blood vessles which lead to inflammation of nerve
• -5th crania nerve=motor and sensory

• -sudden severe stabbing unilateral sensation of CN V
• -facial pain on one side
• -twitching
• -frequent blinking

• -hot/cold air
• -talking
• -brushing teeth
• -yawning'

• -glycerol rhizotomy(injection into CN V)(percutaneous)
• -microvascular decompression(repositioning blood vessles, crani,)

• pain meds
• antiseizure meds
• -tegretol and dilantin

• -inflammation CN VII(facial)
• -paralysis on one side of face
• -herpes virus

most pt will make a full recovery but can take up to 6 months

• acyclovir
• corticosteroids

inability to close the eyelid with an upward movement of the eyeball when closure is attempted