Trigeminal Neuralgia | Causes and Treatment | Part 1

#drnajeeb #medicines #trigeminal #trigeminalneuralgia
Trigeminal Neuralgia | Causes and Treatment | Part 1
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▬▬▬▬▬▬▬▬▬▬ Contents of this video ▬▬▬▬▬▬▬▬▬▬
00:00:00 Introduction
00:02:32 Causes Of Neuropathic Pain
00:06:40 Clinical Features
00:08:15 Site Of Pain
00:13:00 Onset Of Pain
00:14:00 Characteristics Of Pain
00:15:46 Tic Douloureus
00:17:46 Radiation Of Pain
00:19:41 Time Of Pain
00:20:53 Exacerbating Factors
00:23:11 Movement Allodynia
00:24:49 Tactile Allodynia
00:28:05 Severity
00:32:20 Two Groups Pf Trigeminal Neuralgia
00:33:38 Classical Neuralgia And Its Mechanism
00:48:30 Some Exceptions
00:54:30 Symptomatic Trigeminal Neuralgia
00:56:50 Multiple Sclerosis
01:00:08 Some More Features
01:02:45 Choice Of Investigation
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Trigeminal neuralgia (TN), also known as tic douloureux, is a type of chronic pain disorder that involves sudden, severe facial pain. It affects the trigeminal nerve, or fifth cranial nerve, which provides feeling and nerve signaling to many parts of the head and face
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[@richardradcliffe6047]

I am a professor at a large research-intensive medical campus and I also happen to have developed classical TN a few months ago. First of all, I wish I could lecture like you. Absolutely superb. Your knowledge, clarity, and passion is extraordinary. Second, I finally now have a good understanding of the pathophysiology of TN. It has never been presented to me so clearly. My only criticism of your presentation is that you had to go and tell us old folks that our brains are sagging…

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You Sir are a medical God!!! even my ENT professor didnt go into this much detail, thank your for taking your time to do this.

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[@Joolz661]

Dr Najeeb now I know I have Classical TN. You have taught me so much, so quickly. Thank you.

[@jagatheeswarishanmugam2809]

R u suffering from TN?

[@DrPurvajasNatyaMandira]

Thank you sir. You have given me a great clue that will be very helpful in my research into my daughter's condition.

[@kfrank73]

Truly appreciate your teaching methods, and discussion of TN

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ur way of teaching is next level..I really admire u hope atlst one of our teachers was like u

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[@pallavigadhavi8438]

it's very lucky to learn from u sir, u are genius sir, no one can teach like you

[@fionabell6473]

You are explaining the science of it. I appreciate this. The pain is excruciating and I find it hard to manage my life with this illness. I have to take so many tegretol which make me feel nauseated and I have no quality of life.

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Praying for your health 🙏

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I am going to tell my Neurologist about this man. OMG, just listening to him has helped me understand so much. I THANK YOU VERY , VERY MUCH.

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Glad it was helpful!

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Although I am an Engineering student, but watching it...

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Mahad Khaliq I'm a med student and watch a lot of physics videos lol!

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thank u very much sir for making me crystal clear on this topic...

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Dr. You are a class a part...... am so much in love with your stunning lectures, i can only sit at home, follow and watch your lectures and walk straight to an exam room. Never got a very easy lecture to understand like yours. Blessings

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[@jenniferschauf4970]

Thank you so much for this video.. I've been suffering with a typical trigeminal neuralgia and classic trigeminal neuralgia for about 4 years. It's been very depressing and at times I just feel like I don't know how I can handle the pain. It started out with pain in my mouth after getting a lot of teeth work done. Shooting pains in the mouth . The dentist kept giving me new root canals. After a couple years the doctors finally realize I had trigeminal neuralgia. I just feel so alone and the suffering that I don't know if most doctors understand this condition. I get pain in all three areas of the trigeminal nerve in my face. I get constant pain from low grade to moderate pain and then I get shooting pains in my face. I mostly get the constant pain. I get migraines too and about a month ago I started getting really bad and then I was outside and the wind blew. I felt the wind in my tooth and then I had nerve pain shooting up to my face.. it was really bad and I couldn't even move. It would just come and go lasting about a minute. But it was often. Finally, the nerve pain settle down but my face still hurts. My eyes look like they're swollen a little bit just because of the pain to my eyes my nose hurts and my mouth. I also get sore throats a lot and pains in my ears. The doctor of my Lyrica and it gave me a little relief. I live in South Florida and I'm trying to find a good doctor on here. I like mine but I don't think she's seen many patients with this condition. Sorry for this long message but this is been very difficult for me. It's even put strain I feel on my marriage and my family. I just want to get better and have hope. If you have any advice please I would really appreciate it.

[@lauriekline178]

I have this Trigeminal Neuralgia by way of allergic hypothesis, Mast Cell Activation Disease. These attacks are anaphylaxis in the nerves of the face. I take Lyrica, Zyrtec, Montelukast and Metformin and Tylenol and Zaditor for my eye. I avoided triggers, drank room temperature water with bendable straws. Took warm baths to soothe my nerves and balance my internal thermostat. I’m starting to go into remission. My attacks are milder and shorter. Not as intense. Starting to sneeze more, and breaks up the head pressure. Has a allergy signature. Mast cells.

[@morganmckibbon4241]

Jennifer, I hope you have found some relief. My suggestion would be to look for a facial pain specialist in your area, that’s how I got diagnosed and got help. I went to an because my pain made me think it was my sinuses and it was he who suggested a facial pain specialist. Google that phrase and hopefully you can find someone who is familiar with your pain and can help. As a side note I have also suffered from migraines for 40 years now and there is some evidence that the new class of migraine medication, cgrp, can also help with trigeminal neuralgia. Meds such as Nurtec, Ubrelvy, etc.

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Excellent lecture,I could easily visualize the pathology.

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[@urvashimalviya9367]

I can't express in words ; how beautifully the lecture explained the depth of TN.. thank 🙏💕 you so much Dr. Najeeb sir.. How could I show my gratitude to u? Can't understand.. Thank you alot. Lots of love from 🇮🇳

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Very nicely explained

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Just watched half video and couldn't wait to comment, speechless and sir you made such a complecated topic so easy to understand...

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valuable vid, thank you...

[@comedypur321]

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[@nandanisingh1349]

Great lecture i can say.....i can write the complete TN in my exam without revising after watching this lecture👍👍 you are great sir🤩

[@DoctorNajeeb]

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[@kristinas5714]

@@DoctorNajeeb how to cure atypical type 2 trigeminal neuralgia? What could underlying conditions be ?

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[@sylvia6695]

Dr. Najeeb thank you for your absolute love of teaching and your genius. I always listen to your lectures as it helps me in my role as an oncology NP. I am also interested in this lecture specifically as I was diagnosed with TN after suffering from thunderclap headache and RCVS. I underwent craniotomy in April with complete resolution of pain for approximately 4 months. After weaning off Trileptal, pain came back but differently. I’m devastated as pain is unbearable. I have SLE with vasculitis and I presume my pain is also related to autoimmune issues affecting my nervous system? Listening to your lecture has made things much clearer and I am grateful for your dedication and expertise. Many blessings to you!! 🙏🏼

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It's there on clinical medicine

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