DUREREA IN TERITORIUL ORO-

MAXILO-FACIAL
 Examen clinic
• Examen complet
– Nervi cranieni
– Articulatia temporo-mandibulara si muschii
masticatori
– Vasele scalpului
– Punctele trigger
• Consult neurologic
 TESTE DE DIAGNOSTIC
• EEG
• CT si/sau MRI
• EMG
• Radiografii ATM
• Radiografii spina cervicala
• Analize de laborator
• Testari psihometrice
 Nevralgia de trigemen
• Durere paroxistica sub
2 minute
• Se propaga in lungul
nervului trigemen
• Lipsa durerii intre crize
• Puncte trigger
 Tratament
• Carbamazepine • Adjuvanti
• Gabapentin – TCAs
• Baclofen – NSAIDs
– chirurgical
• Phenytoin
• Valproate
• Chlorphenesin