Penyebab dan Gejala Yang Timbul dari Penyakit Neuralgia Trigeminal

Defisit somatosensori yang diakibatkan oleh perubahan jalur somatosensori dapat mengakibatkan kelainan yaitu nyeri. Saraf trigeminal merupakan saraf kranial V yang berperan dalam persarafan sensorik dan motorik wajah, dimana informasi sensoriknya adalah sentuhan, nyeri dan suhu. Penulisan artikel ini mencakup berbagai sumber dari jurnal ilmiah serta pedoman dari pemerintah dan instansi terkait. Neuralgia trigeminal atau tic douloureux adalah penyakit yang terjadi akibat kelainan pada saraf kranial V dengan gejala nyeri wajah yang tiba-tiba, unilateral, kronis, jangka pendek, menusuk, berulang diikuti dengan kontraksi wajah. Insiden neuralgia trigeminal 90% terjadi pada usia 40, sedangkan prevalensi populasi adalah 4,3 per 100.000 penduduk, rasio wanita-pria adalah 1,74: 1, dan lebih sering terjadi pada wajah kanan daripada kiri. 1. Pengobatan neuralgia trigeminal bersifat non-medis dan medis, tetapi pembedahan harus dipertimbangkan jika pengobatan kurang efektif atau dapat ditoleransi. Hiperaktivitas disfungsional trigeminal dapat menyebabkan neuralgia trigeminal dan dapat dicegah dengan menghindari pemicu nyeri.

INFERIOR ALVEOLAR NERVE RADIOFREQUENCY ABLATION FOR REFRACTORY TRIGEMINAL NEURALGIA: A CASE REPORT

Trigeminal neuralgia, also known as tic douloureux, is a disorder characterized by pain in the distribution of the trigeminal nerve. Chronic pain secondary to this condition can have a significant negative impact on a patient’s quality of life. We present an educational case of refractory trigeminal neuralgia responsive to a novel painalleviating procedure. An 80-year-old man with recurrent trigeminal neuralgia presented with episodic pain refractory to multimodal pharmacologic treatment, as well as interventional pain procedures. Radiofrequency ablation (RFA) to the mandibular and maxillary branches of the trigeminal nerve was attempted, but deemed unsuccessful. In an attempt to relieve the patient’s pain in the mandibular region, an inferior alveolar nerve block with radiofrequency ablation was performed. The patient reported a significant longterm reduction of his pain and improved ability to perform activities of daily living. Key words: Trigeminal neuralgia, tic douloureux, radiofrequency ablation, trigeminal nerve, inferior alveolar nerve

Great Possessions: 1945– 1948

Soldiers returning from the war who longed to be a part of something life-affirming and “pure” rushed into the ranks of the wildlife profession. In the fall of 1945 and spring of 1946, the Professor’s classes were packed beyond his abilities to teach. He had to turn some students away. He relied more on Robert McCabe, sought additional assistants, and tried to reduce his outside commitments. But his national stature had grown to the point where he could not turn away some recognition and its attendant duties. He was elected honorary vice president of the American Forestry Association and president of the Ecological Society of America. Periodically, with increasing frequency and fury, pains exploded on the left side of Aldo’s face. It was like “somebody rising suddenly from behind a bush and bashing you with a sledgehammer.” The pain would stop him in midsentence. He had to shut his eyes and put pressure on the side of his face until the pain passed. Doctors diagnosed it as tic douloureux, or facial neuralgia, a swelling around one of the main facial nerves. They didn’t know what caused it or what to do about it. Aldo decided to wait and see if a summer’s ease at home and at the Shack would erase the pain and make surgery unnecessary. Ten years of work and affectionate tending had radically changed the landscape of the Shack. Nearly thirty thousand trees and shrubs thrived in patterns that were both random (never in rows) and intentional (the patches of flora fit the soils and the curves of the landscape). Overgrowth hid the river from view, pines defined parts of the land, and the experimental prairie had taken hold. As young Estella’s studies and social life began to envelop her, Aldo and Estella went to the Shack more and more as a twosome. Grandparents now, the Leopolds did get to babysit Bruce Carl Leopold that summer—the eldest child of Luna and his wife, Carolyn Clugston Leopold. For part of the time they took him to the Shack, and, as always, Aldo was able to relax, and his pains were somewhat relieved.