Tic Douloureux Trigeminal Neuralgia

Throughout the history of Neuralgia it has been discovered three times. The first recorded document was in the second century A.D by Aretaeus of Cappadocia, a contemporary of Galen who called the virus Tic Douloureux . The second recorded finding was by an Arab physician in the eleventh century. The full account of the virus was confirmed in 1773 by John Fothergill who presented a paper on Tic Douloureux to the Medical Society of London giving it the common name of Trigeminal Neuralgia.

The Neuralgia virus was found after several cases started showing up in Europe and Asia.
When someone has Trigeminal Neuralgia they will experience pain in their mouth or face. The intensity of pain can be physically and mentally incapacitating. The pain will vary, depending on the type of TN, and may range from sudden, severe, and stabbing to a more constant, aching, burning sensation. If a person has TN2 than they will feel less pain and more of a dull ache. With TN1 there is extreme, sporadic, sudden burning or shock-like facial pain that can last anywhere from a few seconds to as long as two minutes. These episodes could span for minutes to hours.

TN is mainly transmitted through the Shingles or Herpes viruses. Trigeminal Neuralgia is when the Trigeminal nerve becomes irritated and swells until it rubs against other nerves and causes pain. After a member of a family has TN it can be passed on through generations.

Trigeminal Neuralgia has no cure right now but there are treatments that may help. Medical drugs such as carbamazepine, phenytoin, and gabapentin have been developed as anti-convulsants. Over time pain may increase so dosage of medicine may be changed. There are also several surgeries that can be performed to ease pain. Examples are Microvascular decompression, Glycerol Injections, Gama Knife surgery, and Electrocoagulation. As stated earlier there are not any developed cures for Neuralgia and surgery can only relieve pain for extended periods of time.
Other Information: TN is most common in women over 50 There are three types of Trigeminal pain; Typical, Atypical, Transitional. Pain is only on one side of the face.

Citations: "Trigeminal Nuealgia." N.p., n.d. Web. <https://academic.oup.com/bja/article/87/1/117/304237/Trigeminal-neuralgia-pathophysiology-diagnosis-and>.

National Institutes of Health. U.S. Department of Health and Human Services, n.d. Web. 02 Mar. 2017. <https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Trigeminal-Neuralgia-Fact-Sheet>.

"Trigeminal Neuralgia." UCLA Neurosurgery. N.p., n.d. Web. 02 Mar. 2017. <http://neurosurgery.ucla.edu/trigeminal-neuralgia>.

Created By
Rhett Heide

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