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Clinical Case of Type I Trigeminal Neuritis

  • James Y. Suen
  • John Diaz Day
Chapter

Abstract

J. W. is a 29-year-old white male with sudden onset of pain in his right jaw over a year ago. The pain is severe, electric-like, and intermittent. It can be triggered by eating or talking. When the pain is intense, he cannot stay still and cries in agony. The pain has been so severe that he lost his job and had to quit college. He had tried on anticonvulsants, tricyclic antidepressants, and pain medications, which helped slightly but did not control his pain. A brain MRI at an outside facility was said to be normal. He was referred by his neurologist to Dr. Suen for other suggestions.

Keywords

MRI Vascular compression Trigeminal nerve Type I trigeminal neuritis Microvascular decompression Upper cervical plexus 

References

  1. 1.
    Zakrzewska JM, McMillan R. Trigeminal neuralgia: the diagnosis and management of this excruciating and poorly understood facial pain. Postgrad Med J. 2011;87:410–6.CrossRefPubMedGoogle Scholar
  2. 2.
    Chakravarthi PS, Ghanta R, Kattimani V. Microvascular decompression treatment for trigeminal neuralgia. J Craniofac Surg. 2011;22:894–8.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Otolaryngology—Head and Neck SurgeryUniversity of Arkansas for Medical SciencesLittle RockUSA
  2. 2.Department of NeurosurgeryUniversity of Arkansas for Medical SciencesLittle RockUSA

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