Disorders of the trigeminal system

The management of patients with trigeminal system dysfunction requires an understanding of the system's complex anatomy, which extends from peripheral nerve endings, through the skull base, cavernous sinus (V1, V2 only), and trigeminal ganglion, to the intraaxial nuclei, tracts, and cerebral co...

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Bibliographic Details
Published inSeminars in neurology Vol. 29; no. 1; p. 36
Main Authors Gonella, Marie C, Fischbein, Nancy J, So, Yuen T
Format Journal Article
LanguageEnglish
Published United States 01.02.2009
Subjects
Autoimmunity
Cranial Nerve Neoplasms - diagnosis
Diagnosis, Differential
Face - physiopathology
Herpes Zoster - diagnosis
Humans
Magnetic Resonance Imaging
Neurilemmoma - diagnosis
Trigeminal Nerve - anatomy & histology
Trigeminal Nerve - pathology
Trigeminal Nerve - physiopathology
Trigeminal Nerve Diseases - diagnosis
Trigeminal Nerve Diseases - etiology
Trigeminal Nerve Diseases - pathology
Trigeminal Nerve Diseases - physiopathology
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Summary:The management of patients with trigeminal system dysfunction requires an understanding of the system's complex anatomy, which extends from peripheral nerve endings, through the skull base, cavernous sinus (V1, V2 only), and trigeminal ganglion, to the intraaxial nuclei, tracts, and cerebral cortex. The differential diagnosis is broad. Seemingly minor facial sensory loss may indicate an underlying malignancy (as in numb-chin syndrome). Painful syndromes of the trigeminal nerve are numerous and require careful categorization. Understanding trigeminal system anatomy and the appropriate use of imaging and electrodiagnostics should aid in the diagnosis and treatment of these disorders.
ISSN:0271-8235
DOI:10.1055/s-0028-1124021