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Exam questionKROK 2Medicine ยท 2019

A 45-year-old woman complains of intolerable paroxysmal facial pain on the left with attacks that last for 1-2 minutes. Attacks are provoked by chewing. The disease onset was two months ago after the overexposure to cold. Objectively: pain at the exit points of the trigeminal nerve on the left. Touching near the wing of the nose on the left induces a pain attack with tonic spasm of the facial muscles. What is the most likely diagnosis?

Answer options

  1. Trigeminal neuralgia
  2. Glossopharyngeal neuralgia
  3. Maxillary sinusitis
  4. Temporomandibular joint arthritis
  5. Facial migraine
Correct answer

Trigeminal neuralgia

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