Neuritis of the trigeminal nerve. Diagnosis and treatment.
The triple nerve is responsible for the innervation of the face, andbecause all the symptoms of his defeat are most often reflected on the face. Neuritis of the trigeminal nerve arises sharply in the form of paralysis of facial muscles on one side. There is a smoothing of the nasolabial fold, a skewed face, the corner of the mouth drops, the eyelid does not lift and the eye is peeling from the affected side. At the patient the speech is distorted, it can constantly be rattled during meal, in the first hours of development of disease the insignificant pain is possible. The causes of neuritis are usually considered hypothermia, but in most cases, the cause of the disease can not be identified.
Neuralgia and neuritis. What's the Difference?
Neuralgia of the trigeminal nerve, in contrast toneuritis, refers to one of the most common types of headache and facial pain, it is characterized by severe painful bouts of pain on one side of the head and face, in this case there are no changes in facial muscles. Most often, this disease suffers from a beautiful half of humanity aged 51 to 70 years. The causes of neuralgia are often hypothermia, allergic status, endocrine disorders and some psychogenic factors.
Post-traumatic neuritis. The main causes of the occurrence.
Often neuritis of the trigeminal nerve can beis caused by a trauma to the face or head, in this case, the nerve root compresses and paralysis occurs. Peripheral posttraumatic neuritis is considered a frequent complication after trauma, dental manipulation and surgical interventions on the jaw. According to statistics, this neuritis develops in 85% of all complicated cases.
Post-traumatic neuritis can occur:
- For fractures of the jaw (upper and lower);
- If the conductor anesthesia is incorrectly performed;
- With fractures of the base of the skull;
- With surgical interventions on the jaw;
- With improper dental prosthetics;
- With difficult removal of teeth;
- In the presence of foreign bodies (implants, seals), injuring the nerve trunk.
The condition of the trigeminal nerve after trauma
- Continuity of the nerve trunk is not broken.
- The nerve trunk is overgrown.
- The nerve trunk is pinched by bone fragments.
- The nerve trunk is broken.
Neuritis of the trigeminal nerve. Diagnostics.
To establish the diagnosis requires a correct and accurate diagnosis of levels of defeat of the trigeminal nerve. For this you need:
- Neurological examination of the patient.
- Electro-neurology.
- MRI of the eye orbits and paranasal sinuses.
- CT of the bones of the skull.
- CT of the brain.
Neuritis of the trigeminal nerve. Symptoms.
Standard post-traumatic neuritis differsa violation of sensitivity in the area of innervation of one or at the same time several branches of the nerve, aching with enduring pain of varying degrees of intensity, paresthesia. If the lower alveolar nerve is damaged, the patient may have slight motor disturbances, sometimes pain may occur when the teeth are pressed. In some cases, thinning of the skin develops in the area of the nerve lesion, a change in its color and edema is observed. In severe cases, patients complain of hair loss and the atrophy of the masticatory muscles from the side of the affected nerve.
Neuritis of the trigeminal nerve. Treatment.
Treatment includes symptomatic, hormonal, anticonvulsant and anti-inflammatory therapy, as well as some conservative therapies:
- Stimulation of muscles and nerve.
- Acupuncture.
- Vitamins.
- Homeopathic remedies.
- Physiotherapy.
The disease is subject to immediate diagnosis andadequate treatment, as complications such as ataxia or neuritis of the auditory nerve may appear. Treatment of the disease in this case will be very difficult.
