durerea in teritoriul oro-maxilo-facial-stagiul 6
Post on 15-Jan-2016
4 Views
Preview:
DESCRIPTION
trhrsdrjnn
TRANSCRIPT
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• Gabapentin• Baclofen• Phenytoin• Valproate• Chlorphenesin
• Adjuvanti– TCAs– NSAIDs– chirurgical
top related