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  • Trigeminal nerve

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    Old 08-17-2022, 05:50 PM   #1
    MindOverLife
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    Trigeminal nerve

    I think trigeminal neuralgia is considered rare, but does the trigeminal nerve come in contact with nerves and arteries often? Or is there a natural barrier to prevent rubbing beyond just exposed myelin?

     
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    Old 08-17-2022, 06:01 PM   #2
    Titchou
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    Re: Trigeminal nerve

    The trigeminal nerve is just under an arterial loop behind the ear. The vascular decompression surgery to wrap the nerve in a sort of teflon lifts the loop out of the way so that it can be wrapped and sewn in place so it doesn't damage the nerve again. My sister had the procedure at the Facial Pain Clinic in Pittsburgh. I strongly suggest you check the list of approved neuros on the Facial Pain Assoc web site.

     
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    Old 08-17-2022, 06:26 PM   #3
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    Re: Trigeminal nerve

    I don't need brain surgery. I just assume not all MRI imaging shows something a neurologist would consider a contact between the nerve and vascular stuff?

     
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    Old 08-18-2022, 03:28 AM   #4
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    Re: Trigeminal nerve

    Not all MRIs show everything all the time. With my sister, it did show everything around it and that's how they knew her condition was congenital and not from an accident (the usual ways that contribute to TN).

     
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    Old 08-18-2022, 02:24 PM   #5
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    Re: Trigeminal nerve

    What accidents tend to cause it?

     
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    Old 08-18-2022, 02:27 PM   #6
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    Re: Trigeminal nerve

    Is there supposed to be a barrier between the nerve and all things else?

     
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    Old 08-18-2022, 03:12 PM   #7
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    Re: Trigeminal nerve

    Just the normal covering...no other structures in between. But there isn't supposed to be movement that can rub the sheath and, of course, accidents can damage it as well. My sister's was congenital.

     
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    Old 08-18-2022, 03:44 PM   #8
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    Re: Trigeminal nerve

    Generally the blood pulsing is enough movement to remove the myelin? Are you a doctor on this subject?

     
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    Old 08-19-2022, 03:34 AM   #9
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    Re: Trigeminal nerve

    As I said, my sister has TN and had the surgery to repair it. Hers was considered to have been malformed and over time wore away the sheath in that spot. I have a friend with MS who has developed TN as a result of the MS. What is your concern about this condition?

     
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    Old 08-19-2022, 06:37 AM   #10
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    Re: Trigeminal nerve

    Just started getting dull face pain after Covid-19. It seems to be controlled well enough with anticonvulsant.

     
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    Old 08-19-2022, 03:00 PM   #11
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    Re: Trigeminal nerve

    Anticonvulsants would not be the appropriate med for TN. Gabapentin would be the first med they wouldgive you. Are you seeing a neuro? Had an MRI? TN pain is more stabbing in one place rather than a dull one generally on the face,

     
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    Old 08-19-2022, 03:10 PM   #12
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    Re: Trigeminal nerve

    Gabapentin is an anticonvulsant. My pain is right along line from ear to cheek bone. Sometimes around eye. MRI showed SUP artery rubbing on the nerve. I don't have a TN diagnosis.

     
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    Old 08-20-2022, 05:33 AM   #13
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    Re: Trigeminal nerve

    Getting all the information up front is more helpful than broad generalities masking one's real purpose.

     
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