The pathogenesis and effective treatment of trigeminal nerve pain

What is Trident?Trigeminal nerve pain, known as the "first pain in the world", is a form of severe nerve pain that occurs in the distribution of the trigeminal nerve in the faceBecause of its sudden, sudden and stubborn, unbearable characteristics of the patient to talk about color change, to the patient's physical and psychological double torture, some patients because of poor treatment, unbearable long-term pain, and even produce too light thoughtsmodern medical research shows that the cause of trigeminal nerve pain is the trigeminal nerve in the brainblood vesselspressure, resulting in the trigeminal nerve root local demyelination change, demyelin local adjacent fibers between the production of "short circuit", slight tactile stimulation can be passed through this "short circuit" into the center, and the central impulse through this "short circuit" into the impulse, so superimposed, to reach the threshold strength above the symptoms of severe paintheclinicalof "trigeminal nerve pain"trigeminal nerve pain is more common in middle-aged and elderly people, most of them after the age of 40, more women than menThere are no obvious signs before the attack, which lasts from a few seconds to one to two minutesPain can be induced by mouth, tongue movement or external stimulation, often have a "trigger point" (i.etouching a part of the face will cause pain), mostly in the lips, nose and mouthChewing, swallowing, talking, washing your face, brushing your teeth, etccan cause painful seizuresFearof pain, some patients do not wash their faces, talk carefully, eat less, so that the face is dirty, weak, depressed some patients with pain attacks accompanied by the same side of the eye or eyes tears and drooling, occasionally facial expression muscle snorts, called "painful convulsions." Pain is periodic attacks, the period of non-pain is gradually shortened, and finally seriously affect the patient's eating and rest, let people struggle, pain do not want to live, unable to work and live normally Trigeminal nerve pain can also cause respiratory, digestive system and a series of physiological activities of disorders, increase the incidence of cardiovascular diseases, so patients should be treated in a timely manner, so as not to delay the disease the "scapegoat" of trigeminal nerve pain - the "scapegoat" of toothache the course of treatment, we found that trigeminal nerve pain is often mistaken for toothache, often the healthy teeth removed, or even all teeth are still ineffective, so should pay attention Toothache is one of the most common symptoms of dental disease, mostly caused by gingivitis, periodontitis, tooth decay or cracking of teeth caused by infection of the pulp (the nerves of the teeth) The pain caused by dental disease is persistent pain, which is quite different from the characteristics of intermittent and sudden bursts of trigeminal nerve pain, and the intensity of trigeminal nerve pain is far above the toothache, the initial onset of the attack is less frequent, the interval is also long, with the development of the disease, the seizures gradually frequent, the interval gradually shortens, the pain is gradually aggravated and severe, is a veritable "world first pain." how to get rid of "trigeminal nerve pain" there are three main recommended treatments for trigeminal nerve pain: drugs, balloon compression and surgical treatment early stage of trigeminal nerve pain, some patients will choose conservative treatment, that is, take anti-
epilepsy drugs, but the drug can not be eradicated, and the side effects are large, will cause serious liver and kidney function damage, and the effect is minimal As the disease progresses, the drug can be used "transdermal puncture balloon compression" when it is no longer effective or cannot tolerate side effects of the drug The method does not require craniofacial surgery, just pierces the face with a needle, places the balloon catheter into the trigeminal nerve section through the base of the skull, and compresses the trigeminal nerve pain neurons through the expansion of the balloon to achieve therapeutic purposes Although the risk is small and no incision, this method can cause facial retardation (usually improved after several months) microvascular decompression to treat trigeminal nerve pain, that is, in the ear in the hair of a skin incision, skull drilling, under the microscope, the disease-causing "cause" in the skull - "responsible blood vessels" and trigeminal nerve root isolation, once the responsible blood vessels are isolated, the source of the stimulation disappeared Zhongjun, Xinhua Hospital, affiliated with Shanghai Jiaotong University Medical School, has a