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    NEUROPATHIES

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    FATHIMA CABRERA
    Trigeminal neuralgia causes sudden, severe facial pain that feels like electric shocks. Episodes are triggered by things like chewing and usually last seconds to minutes. Bell's palsy causes sudden weakness of facial muscles on one side, making smiles one-sided. It's often temporary. Acoustic neuromas are benign tumors of the nerve from the inner ear to the brain that may cause hearing loss and dizziness.

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    NEUROPATHIES

    Uploaded by

    FATHIMA CABRERA
    20 views38 pages
    Trigeminal neuralgia causes sudden, severe facial pain that feels like electric shocks. Episodes are triggered by things like chewing and usually last seconds to minutes. Bell's palsy causes sudden weakness of facial muscles on one side, making smiles one-sided. It's often temporary. Acoustic neuromas are benign tumors of the nerve from the inner ear to the brain that may cause hearing loss and dizziness.

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    Trigeminal neuralgia causes sudden, severe facial pain that feels like electric shocks. Episodes are triggered by things like chewing and usually last seconds to minutes. Bell's palsy causes sudden weakness of facial muscles on one side, making smiles one-sided. It's often temporary. Acoustic neuromas are benign tumors of the nerve from the inner ear to the brain that may cause hearing loss and dizziness.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    20 views38 pages

    NEUROPATHIES

    Uploaded by

    FATHIMA CABRERA
    Trigeminal neuralgia causes sudden, severe facial pain that feels like electric shocks. Episodes are triggered by things like chewing and usually last seconds to minutes. Bell's palsy causes sudden weakness of facial muscles on one side, making smiles one-sided. It's often temporary. Acoustic neuromas are benign tumors of the nerve from the inner ear to the brain that may cause hearing loss and dizziness.

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    Few Neurological Disorders

    • Trigeminal Neuralgia (Tic Douloureux)


    Trigeminal neuralgia is sudden, severe facial pain.
    It's often described as a sharp shooting pain or like having an electric
    shock in the jaw, teeth or gums.
    It usually happens in short, unpredictable attacks that can last from a
    few seconds to about 2 minutes.
    The attacks stop as suddenly as they start.
    • Episodes of severe, shooting or jabbing pain that may feel like an
    electric shock.
    • Spontaneous attacks of pain or attacks triggered by things such as
    touching the face, chewing, speaking or brushing teeth
    • Twitching, grimacing of facial muscles

    • Involvement of 5th CN
    • Causes –infections in sinuses, teeth,
    mouth or irritation of nerve from pressure
    Nursing Interventions
    • Identify and avoid stimuli that exacerbate the attack
    • Medication: Tegretol, analgesics
    • Avoid rubbing eye
    • Chew on the opposite side of the mouth
    • Treatment: alcohol injection to nerve, resection of nerve
    • Bell’s Palsy (Facial paralysis)
    • is a condition that causes sudden weakness in the muscles on one
    side of the face.
    • In most cases, the weakness is temporary and significantly improves
    over weeks.
    • The weakness makes half of the face appear to droop. Smiles are one-
    sided, and the eye on the affected side resists closing
    • Involvement – 7th CN
    • Causes: Vascular ischemia, viral diseases, edema, inflammatory
    diseases
    Nursing Interventions
    • Protect head from cold
    • Administer analgesics
    • Assist in elec stimulation
    • Massage, warm packs
    • Provide support for altered body image
    • Prevent corneal abrasion (artificial tears)
    • Treatment – elec stimulation, analgesics, steroid
    • Recovery: 3-5 weeks
    • Acoustic Neuroma
    • is a benign tumor that develops on the balance (vestibular) and
    hearing, or auditory (cochlear) nerves leading from your inner ear to
    the brain.
    • The pressure on the nerve from the tumor may cause hearing loss
    and imbalance
    S/Sx
    • Deafness – partial initially
    • Twitching, grimacing of facial muscles
    • Dizziness

    • Causes: benign tumor of the 8th CN


    Nursing Interventions
    • Pre and post op care for posterior fossa craniotomy
    • Comfort measures: assist in turning head and neck
    • Treatment: surgical incision of tumor
    • Guillain-Barré syndrome (GBS)
    • is a rare neurological disorder in which the immune system
    mistakenly attacks part of the peripheral nervous system—the
    network of nerves located outside of the brain and spinal cord.
    • The exact cause of Guillain-Barre syndrome is unknown.
    • But two-thirds of patients report symptoms of an infection in the six
    weeks preceding.
    • These include a COVID-19, respiratory or a gastrointestinal infection
    or Zika virus.
    • Amyotrophic lateral sclerosis
    • is a progressive nervous system disease that affects nerve cells in the
    brain and spinal cord, causing loss of muscle control. ALS is often
    called Lou Gehrig's disease, after the baseball player who was
    diagnosed with it.
    Risk factors for ALS include:

    Age—Although the disease can strike at any


    age, symptoms most commonly develop
    between the ages of 55 and 75.
    Biological sex—Males are slightly more likely to
    develop ALS. However, as people age the
    difference between the sexes disappears.
    Race and ethnicity—Caucasians and non-
    Hispanics are most likely to develop the
    disease, but ALS affects people of all races and
    ethnic backgrounds.

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