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Temporal Arteris - age of onset:
Trigeminal Neuralgia - age of onset:
>50 yrs. Mean age 71
50 - 60 years. Rare under 40
Temporal Arteris - Female:Male
Trigeminal Neuralgia - Female:Male
70:30
F>M
Trigeminal Neuralgia - lateralisation:
Unilateral or bilateral
Usually unilateral, rarely bilateral
Trigeminal Neuralgia - nature of pain:
Sudden, often described as unlike any headache previously. Not helped by taking paracetamol
Excruciating pain. Similar to electric shock, piercing, shooting, sharp or 'knife like'. Usually unexpected.
Trigeminal Neuralgia - location:
Temporal or occipital region
Teeth, lower or upper jaw, cheek and less commonly forehead or eye
Trigeminal Neuralgia - age of frequency:
Varies
Usually last a few seconds, may occur as episodes of pain lasting regularly for days, weeks or months at a time. May be a period of remission.
Trigeminal Neuralgia - severity:
Severe
Trigeminal Neuralgia - associated symptoms:
Permanent blindness, jaw or tongue claudication, ischaemic complications, weight loss, diplopia, scalp tenderness, half develop polymyalgia rheumatica
None
Trigeminal Neuralgia - triggers/relief:
Facial motor movements, brushing teeth, washing face, light touch, shaving, putting on makeup, swallowing, kissing, cool breeze, air conditioning, head movements, vibration from walking or a car journey.
Trigeminal Neuralgia - causes:
Probably initiated by exposure to an exogenous antigen. Numerous viruses and bacteria proposed as potential precipitants
Trigeminal nerve compression from nearby blood vessel, or damage of the trigeminal nerve from multiple sclerosis
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