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Trigeminal neuralgia (TN or TGN), also called Fothergill disease, tic douloureux, trifacial neuralgia, is a long-term pain disorder that affects the trigeminal nerve, [6] [1] the nerve responsible for sensation in the face and motor functions such as biting and chewing.
Microvascular decompression (MVD), also known as the Jannetta procedure, [1] is a neurosurgical procedure used to treat trigeminal neuralgia (along with other cranial nerve neuralgias), a pain syndrome characterized by severe episodes of intense facial pain, and hemifacial spasm.
The treatment of ADHD in the presence of tic disorders has long been a controversial topic. Past medical practice held that stimulants could not be used in the presence of tics, due to concern that their use might worsen tics; [266] however, multiple lines of research have shown that stimulants can be cautiously used in the presence of tic ...
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Although tic disorders are commonly considered to be childhood syndromes, tics occasionally develop during adulthood; adult-onset tics often have a secondary cause. [33] Tics that begin after the age of 18 are not diagnosed as Tourette's syndrome, but may be diagnosed as an "other specified" or "unspecified" tic disorder. [24]
Among those with an older age of onset, more substance abuse and mood disorders are found, and there may be self-injurious tics. Adults who have severe, often treatment-resistant tics are more likely to also have mood disorders and OCD. [47] Coprolalia is more likely in people with severe tics plus multiple comorbid conditions. [32]
Knowledge, education and understanding are uppermost in management plans for tic disorders, [6] and psychoeducation is the first step. [14] [15] A child's parents are typically the first to notice their tics; [16] they may feel worried, imagine that they are somehow responsible, or feel burdened by misinformation about Tourette's. [14]