{"id":1032,"date":"2017-05-31T06:37:57","date_gmt":"2017-05-31T06:37:21","guid":{"rendered":"http:\/\/papergp.com\/index.php\/neurology\/trigeminal-neuralgia\/"},"modified":"2019-04-07T10:20:26","modified_gmt":"2019-04-07T10:20:26","slug":"trigeminal-neuralgia","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/neurology\/trigeminal-neuralgia\/","title":{"rendered":"Trigeminal neuralgia"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Differential diagnosis<\/strong><\/h4>\n<ul>\n<li>Malignancy &#8211; weight loss<\/li>\n<li>Dental<\/li>\n<li>GCA\/TA<\/li>\n<li>Migraine<\/li>\n<li>MS &#8211; limb weakness, vision<\/li>\n<li>Post herpetic neuralgia &#8211; previous shingles<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>Red flags<\/li>\n<li>Others &#8211; stabbing unilateral pain, episodic, triggers (light touch, brushing, usually &gt;50yo)<\/li>\n<li>Examine<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>MRI brain<\/li>\n<\/ul>\n<\/li>\n<li>Explanation\n<ul>\n<li>Irritation of hte trigeminal nerve &#8211; sometimes due to blood vessel pressing on the nerve<\/li>\n<\/ul>\n<\/li>\n<li>Treatment\n<ul>\n<li>Support groups<\/li>\n<li>Carbamazepine 100mg BD and titrate every three days<\/li>\n<\/ul>\n<\/li>\n<li>Followup \/ Safety-net\n<ul>\n<li>Refer to neurology if difficult to treat, severe pain<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Differential diagnosis Malignancy &#8211; weight loss Dental GCA\/TA Migraine MS &#8211; limb weakness, vision Post herpetic neuralgia &#8211; previous shingles &nbsp; Data gathering Red flags Others &#8211; stabbing unilateral pain, episodic, triggers (light touch, brushing, usually &gt;50yo) Examine &nbsp; Clinical management Investigations MRI brain Explanation Irritation of hte trigeminal nerve &#8211; sometimes due to blood &hellip; <a href=\"https:\/\/papergp.com\/index.php\/neurology\/trigeminal-neuralgia\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Trigeminal neuralgia<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":378,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1032","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1032","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=1032"}],"version-history":[{"count":3,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1032\/revisions"}],"predecessor-version":[{"id":1527,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/1032\/revisions\/1527"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/378"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=1032"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}