Is psychiatric illness more common in Trigeminal Neuralgia patients?


Is psychiatric illness more common in Trigeminal Neuralgia patients?
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Neurosurgery
Is psychiatric illness more common in Trigeminal Neuralgia patients?

Is psychiatric illness more common in Trigeminal Neuralgia patients?

Trigeminal neuralgia is is paroxysmal lancinating electric-like pain lasting a few seconds. It is often triggered by sensory stimuli, confined to the distribution of one or more branches of the trigeminal nerve on one side of the face, with no neurologic deficit.

 Chronic diseases such as hypertension, diabetes mellitus, dyslipidemia and chronic pulmonary disease are more prevalent in patients with Trigeminal neuralgia  than in patients without Trigeminal neuralgia.

“I was suffering from this nerve problem called trigeminal neuralgia. So I couldn’t talk. Had to talk like that (speaking with his mouth slightly closed) and huge amount of pain,” Salman Khan had said in a video posted on YouTube .

Patients with trigeminal neurlagia are more likely to develope depression, anxiety and sleep disorders than the control but  have no higher risk for subsequent schizophrenia and bipolar disorder.

Carbamazepine (CBZ) is the first-line medical treatments for pain control in patients with TN . The initial number of responders was 98 % with Carbamazepine at a median dosage of 600 mg (range 200–1200 mg).

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Ref:J Headache Pain. 2015; 16: 64.