Facial nerve pain from

Patients with hypertension appear to carry a higher risk for developing trigeminal neuralgia, a Taiwanese study showed. Although the exact cause of trigeminal neuralgia is unknown, there is evidence to suggest that it could be caused by compression of the nerve by a tortuous vessel, which leads to demyelination, according to the researchers. Previous studies that have looked into a possible connection between hypertension and trigeminal neuralgia have yielded mixed results, so Pan and his colleagues wanted to explore the relationship using the National Health Insurance claims database in Taiwan, which covers nearly all residents of that country. The analysis included , adults with at least two ambulatory visits with a principal diagnosis of hypertension compared with , randomly selected people without hypertension matched by age and sex. Those with trigeminal neuralgia at baseline were excluded. At baseline, the mean age in both groups was 57, and about half of the individuals were female.
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An Overview of Trigeminal Neuralgia in MS

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Facial Pain (Causes, Symptoms, and Treatment) | Patient

Trigeminal neuralgia TN or TGN , also called Fothergill Disease , Tic Douloureux , or Trifacial Neuralgia is a long-term pain disorder that affects the trigeminal nerve , [7] [1] the nerve responsible for sensation in the face and motor functions such as biting and chewing. It is a form of neuropathic pain. The exact cause is unknown, but believed to involve loss of the myelin of the trigeminal nerve. Treatment includes medication or surgery. It is estimated that 1 in 8, people per year develop trigeminal neuralgia.
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Smita Patel, MD is triple board-certified in neurology, sleep medicine, and integrative medicine. Trigeminal neuralgia is a rare, painful condition caused by irritation of the fifth cranial nerve. It can be experienced by people with multiple sclerosis MS and may be one of the first symptoms of the disease. Demyelination—the loss of the myelin sheath surrounding nerve fibers—is what triggers this disorder in people with MS. According to a study, approximately 4 percent of people with MS experience trigeminal neuralgia.
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Dear Dr. Roach: My husband suffers from trigeminal neuralgia. This is often very painful for months at a time, then the pain will stop for a few months before it begins again. He does not want to begin taking an antiseizure medication.
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