TOPICAL DIAGNOSTICS, CLINICAL MANIFESTATIONS OF TRIGEMINAL PAIN

Аннотация

Facial pain syndromes caused by damage to the trigeminal nerve system are varied in clinical manifestations, have a severe course and are chronically recurrent in nature. Taking an anamnesis, especially a description of the pain phenomenon by the patient, as well as an objective study of clinical manifestations, make it possible to first determine the level of damage, and then the cause of the disease. The article presents the main etiological factors and clinical manifestations of damage to the peripheral branches of the trigeminal nerve. A description of the clinical picture of iatrogenic damage to the peripheral branches of the trigeminal nerve is demonstrated. Lesions of the Gasserian ganglion in the cranial cavity, lesions of the trigeminal nerve root at the level of the base of the brain, and nuclear lesions of the trigeminal nerve are considered. A description of two clinical cases is given. Thus, if neuropathic disorders associated with trigeminal nerve pathology are suspected in a patient with orofacial pain, a thorough history as well as clinical examination should be performed. Having determined the topical level of the lesion, continue the diagnostic search using instrumental, laboratory and other research methods.