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Question 85 (part 2) · LDEK · Cranial nerves and facial pain

Choose true statements regarding treatment of nerve V neuralgia:

1) the treatment starts with carbamazepine administration, initially in the dose from 100-200 mg to 1000mg per day;
2) painkillers taken by patients are of great help;
3) in case of surgical treatment, access to trigeminal nerve is achieved through craniotomy with dimensions of 3.0x3.5 cm, performed behind the auricle;
4) surgeries are usually performed in young patients;
5) in surgeries in elderly patients, generally healthy, treatment of choice is transcutaneous damaging the Gasser’s ganglion.
Correct answer is:
  1. A. 1,4.
  2. B. 2,3,4.
  3. C. 2,3,5.
  4. D. 1,2,5.
  5. E. 1,3.
Hint

Consider the first-line drug, whether ordinary analgesics help, and which patients are offered craniotomy versus percutaneous ganglion procedures.

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