Tic Douloureux (Trigeminal Neuralgia) 1
General: Brief, sharp, unilateral facial 151f57b pain that usually occurs in the middle or lower face; occurs more often in females; occurs most frequently in persons over age 40 years; right side affected more than left side.
Ocular: Ipsilateral hyperemia with the pain of conjunctiva; periorbital pain; ipsilateral lacrimation during the pain; decreased corneal sensitivity; photophobia.
Clinical: Pain triggered by chewing, swallowing, laughing, brushing teeth, shaving, or combing hair; may be present with multiple sclerosis.
Ackermann-Korner M, Draeger J. Quantitative Messungen der Hornhautsensibilitat bei idiopathischer Trigeminusneuralgie und nach neurochirurgischen Eingriffen am N. trigeminus. Klin Monatsbl Augenheilkd 1991; 199:84-90.
Fraunfelder FT, Roy FH. Current Ocular Therapy, 5th ed. Philadelphia: WB Saunders, 2000.
Grimson BS, Boone SC. Sixth nerve palsy complicating percutaneous thermal ablation of the trigeminal nerve rootlet. Am J Ophthalmol 1981; 92:225-229.
Gutrecht JA, Lessell 1M. Photophobia in trigeminal neuralgia. J Neuro-Ophthalmol 1994; 14:122-l23.
Voorhies R, Patterson RH. management of trigeminal neuralgia (tic douloureux). JAMA 1981; 245:2521-2523.
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