SAY ni DOK | Ano ang trigeminal neuralgia, ano ang sanhi, sintomas at gamot nito - video Dailymotion

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SAY ni DOK | Ano ang trigeminal neuralgia, ano ang sanhi, sintomas at gamot nito

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00:00 Every year, around 150,000 people are diagnosed with trigeminal neuralgia.

00:07 This condition is more common in women than in men.

00:12 And it is more common in people over the age of 50.

00:17 That's why it is also considered a rare disorder.

00:21 But what is trigeminal neuralgia?

00:23 It is a chronic pain disorder also called tic-de-la-ra.

00:27 In English, it means "painful tic."

00:32 This condition is caused by a sudden and painful face

00:35 that is usually caused by an electric shock.

00:38 It is often affected by the lower part of the face and chin,

00:42 and sometimes the area around the nose and above the eyes.

00:46 To learn more about the symptoms and other information about this condition,

00:51 we have a free Telemed about it here on Say Needle.

00:55 [Music]

00:59 And now, we have Dr. Christine Ann Carrandang-Chacon,

01:08 an adult neurologist, for our free Telemed.

01:09 Good morning, Dr. Christine.

01:11 Welcome to Rise and Shine Philippines.

01:13 Hi, good morning. It's nice to be here.

01:17 Good morning, Dr. Christine, Diane Carrandang-Chacon, and Audrey Goloseta.

01:20 Alright, Doc.

01:20 We already gave a brief explanation about this condition.

01:25 But can you explain to us what is the role of the trigeminal nerve?

01:32 What is the role of this in our body?

01:35 Basically, the trigeminal nerve has both a role for sensation and also motor.

01:46 Meaning, it's for the sensation of the face, as explained earlier,

01:50 here at the top of the forehead, here at the cheeks, and here at the jaw.

01:58 Then, it also has motor functions in the muscles here,

02:03 in the bicep, masseter, and temporal muscles.

02:09 Okay, Dr. Amari, can you describe to us

02:13 how painful it is for people who have trigeminal neuralgia

02:18 and how often does this happen?

02:21 What are the symptoms of this, Doc?

02:23 Okay, usually, in trigeminal neuralgia,

02:28 patients would describe it as electric-like shock.

02:33 It's like lightning.

02:37 And then, laccinating is when it's really painful.

02:41 If it would be a score of over 10,

02:45 the pain score would usually be 10/10.

02:49 It's usually fast.

02:53 It would happen in a second's time, suddenly.

02:57 And then, it can be repeated.

03:03 Okay, Doc, what are the risk factors for this?

03:07 What are the possible causes?

03:09 And are there any triggering factors for this, Doctor?

03:14 Okay, so in terms of the symptoms,

03:17 usually, anything that can affect the trigeminal nerve.

03:21 So, if, let's say, someone has a compression,

03:24 such as a tumor,

03:27 it can be that.

03:28 Others are aneurysms.

03:30 And then, others are multiple sclerosis,

03:32 which is another condition in itself.

03:35 It can cause trigeminal neuralgia.

03:39 Now, triggers, I guess,

03:42 actually, it's very difficult for patients

03:44 because as easy as the air in an electric fan

03:48 can be a trigger,

03:50 biting, or just touching the face

03:55 could be a trigger.

03:56 So, it's hard to control

03:59 because anything, basically, can really trigger it.

04:03 Okay, Doctor, why is this more common

04:07 in women, this condition?

04:11 Actually, I looked on that,

04:12 why it's more common in women.

04:16 They just say, statistically,

04:17 it's really a predilection for women.

04:20 But, in some sources, it's makeup.

04:23 But it's really more for a trigger

04:25 because if it's makeup,

04:27 I guess, it's more touched by women, their face.

04:30 But it does not explain why women develop it.

04:34 There are no hormonal relations

04:38 that are explained on the text.

04:42 So, I guess, more on the trigger part,

04:47 women basically touch their face more than men

04:51 because of makeup.

04:55 You know what Doc was explaining earlier, the pain?

04:58 It's like, the pain is so bad.

05:00 Yes, I can imagine.

05:01 It's like, number 10 out of 10.

05:03 But this is a rare disease, right?

05:07 Rare enough, but in our practice,

05:11 we do see patients of trigeminal neuralgia.

05:17 It's not a once-in-a-lifetime thing,

05:21 but it's not entirely common.

05:24 But we do see cases of trigeminal neuralgia.

05:29 Okay, Doc, how is this treatment?

05:31 Do we need to operate on it right away

05:33 or is there a medicine that we can take?

05:37 Okay, of course, we try first medications.

05:40 Patients might be surprised to see

05:43 that it's written on the packs of their medication

05:46 that it's an anti-seizure.

05:48 But that's really the first line of medicine

05:52 for these cases.

05:53 It's usually carbamazepine,

05:55 or the one we use, norexcarbazepine.

05:59 And then we also use pregabalin,

06:03 gabapentin, or amitriptyline.

06:07 So, yeah, those are the first medications that we use.

06:10 And then later on,

06:13 if it's really very difficult to control it,

06:16 then maybe, and depending on the cause also,

06:20 then yes, we can suggest surgical intervention as well.

06:25 Well, Doc, for our fellow countrymen

06:28 who are not familiar with this disease

06:30 and have experienced it,

06:31 what are your tips or messages or reminders for them?

06:35 Well, maybe when you feel something,

06:42 it would be best to investigate right away.

06:45 So you can consult your doctor right away.

06:48 Because, like I said earlier,

06:51 it's okay if the trigeminal neuralgia is only idiopathic,

06:54 meaning there's no specific cause.

06:57 But if it's, let's say, it is caused, let's say, by tumor,

07:01 or an aneurysm, or multiple sclerosis,

07:04 then those are diseases

07:09 that should be addressed and given treatment as well.

07:14 And of course, you don't have to stay in pain.

07:17 We have medications for that.

07:19 And we even have surgical options for that.

07:21 Pain is very debilitating.

07:25 Pain can be depressing.

07:27 And pain can really bring down the quality of life.

07:33 So don't say, "Oh, it's just pain."

07:36 Better consult, have it addressed,

07:38 and live more comfortably.

07:40 So how is this diagnosed?

07:42 Can screening be done

07:45 to prevent or give immediate treatment

07:50 if it's already seen, diagnosed, or screened?

07:54 Usually, it's a clinical diagnosis.

07:56 Meaning, so just from the description of the patient,

07:59 from the examination,

08:00 then we more or less know that it is already trigeminal neuralgia.

08:05 But we do order for imaging studies,

08:10 such as MRI or CT scan, like that.

08:13 Or depending on what are our suspicions,

08:16 because we're investigating for the cause

08:19 of why it's trigeminal neuralgia.

08:22 Well, Doc, what is the usual age range of these cases?

08:28 Well, actually, it can be very young.

08:32 But usually, it's around 30 to 50 years old.

08:36 Affected.

08:38 Doc, what is this? It seems like it's just going to hurt your head.

08:41 Yes, it's said that it hurts the face.

08:43 What is it?

08:44 It's anywhere in the face, actually.

08:48 Or it can be anywhere on the back.

08:50 But it's usually here, on the forehead,

08:53 on the cheek, and on the jaw.

08:56 It's really painful.

08:59 Lancinating shock, like electric light pain.

09:02 So if you're already feeling that,

09:05 it's better to consult your doctor.

09:07 As Doc said, we don't have to suffer from pain.

09:11 Because there are experts who can help us

09:14 and remove the pain that we're feeling.

09:16 It's not scary because sometimes it's sudden.

09:20 It's like an electric shock.

09:22 It's like someone hit you.

09:23 Well, Doc, thank you very much for your free telemedicine this morning

09:27 on sharing your knowledge about this disease.

09:30 Thank you very much, Dr. Steve.

09:33 Thank you and good morning.

SAY ni DOK | Ano ang trigeminal neuralgia, ano ang sanhi, sintomas at gamot nito

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