MDcooper
Forum Guru
Topics: 211
Posts: 470
|
A 60-year-old man complains of extremely severe, sharp, shooting pain in his face. He describes the episodes as being "like a bolt of electricity" that are brought about by touching a specific area, last about 60 seconds, and occur many times during the day. Neurologic examination is completely normal, but it is noted that part of his face is unshaven because he fears to touch that area. Gadolinium-enhanced MRI shows no abnormalities of the trigeminal nerve. Which of the following is the most appropriate initial treatment?
A. Anticonvulsants
B. Aspirin
C. Nonsteroidal anti-inflammatory drugs
D. Vasoconstrictors
E. Vasodilators
___________________
live and let live.
|
| kity
Certified.............
Topics: 32
Posts: 1,059
|
A..... gabapentin
___________________
NO PAIN .. NO GAIN ..
|
| prathapdoctor
Forum Elite
Topics: 12
Posts: 406
|
yes,anticonvolusants
|
| sarika
Forum Guru
Topics: 195
Posts: 1,200
|
i thought the same
but just a ques why "Gadolinium-enhanced MRI shows no abnormalities of the trigeminal nerve"
|
| prathapdoctor
Forum Elite
Topics: 12
Posts: 406
|
i think most of the times we dont even find any abnormality in trigeminal neuralgia even with mri.
|
| fox
Forum Guru
Topics: 70
Posts: 727
|
Gadolinium enhanced MRI is done to look for any aberrant vessels looping around the trigeminal nerve root. In case of abnormality, it may be worthwhile to try sugical decompression. But most cases no abnormality detected & we treat medically
___________________
Aim High
|
|
| |
| | | | | | |
