BIOC33H3 Lecture Notes - Sympathetic Nervous System, Molly Mcguire, Germination

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25 Mar 2013
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Chapter 61: peripheral nerve and spinal cord problems. Cranial nerve disorders are commonly classified as peripheral neuropathies. The 12 pairs of cranial nerves are considered the peripheral nerves of the brain. Two cranial nerve disorders are trigeminal neuralgia and acute peripheral facial paralysis (bell"s palsy). Trigeminal neuralgia (tic douloureux) is a relatively uncommon cranial nerve disorder. However, it is the most commonly diagnosed neuralgic condition. The trigeminal nerve is the fifth cranial nerve (cn v) and has both motor and sensory branches. In trigeminal neuralgia, the sensory or afferent branches, primarily the maxillary and mandibular branches, are involved. The classic feature of trigeminal neuralgia is an abrupt onset of paroxysms of excruciating pain described as a burning, knifelike, or lightning-like shock in the lips, upper or lower gums, cheek, forehead, or side of the nose. Intense pain, twitching, grimacing, and frequent blinking and tearing of the eye occur during the acute attack.

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