Is it easier to get trigeminal neuralgia with high blood pressure? Trigeminal neuralgia, as the “world’s first pain”, is a severe pain in the distribution area of the trigeminal nerve, there is no premonition of the onset of trigeminal nerve, it is paroxysmal, often manifested as sudden onset and stop, click-like, pinprick-like, knife-like pain, mostly occurring during the day, each pain attack lasts from a few seconds to 1 – 2 minutes. Each pain attack lasts from a few seconds to 1 – 2 minutes, and the pain is unbearable during the attack, but it is no different from normal people when there is no attack, but with the development of the disease, the pain attacks will become more frequent and the interval between attacks will become shorter. Some studies have shown that people with high blood pressure are more likely to get trigeminal neuralgia, why is this? What kind of people are more likely to suffer from trigeminal neuralgia? 1, hypertension, hyperlipidemia, atherosclerosis: the onset of trigeminal neuralgia is proportional to age, as age increases, the curvature of blood vessels gradually increases, and the elasticity of blood vessels gradually decreases, while hypertension, hyperlipidemia, atherosclerosis and other factors will accelerate this process. Clinical observation in the atherosclerotic vessels or vascular collaterals around the trigeminal nerve, sometimes calcification will appear on the vessel wall, which is often the cause of trigeminal neuralgia. 2, People with dysfunction of the dental system: such as early contact of the cusps, severe locking, missing posterior teeth or excessive wear of the occlusal surface, etc. These problems can lead to spasm of the muscle groups around the mandibular joint, thus inducing trigeminal neuralgia. 3, those with paranasal sinusitis and odontogenic inflammation: inflammatory lesions occur in the face, nasal cavity and mouth innervated by the trigeminal nerve, such as paranasal sinusitis and odontogenic inflammation, which can form long-term chronic stimulation, thus leading to trigeminal nerve dysfunction and the occurrence of trigeminal neuralgia. 4.Viral infection: Herpes and herpes simplex virus infection, resulting in hedgehog-like blistering rash on the skin of the patient’s face, the virus can invade the cranium along the trigeminal nerve pathway and lurk in the trigeminal ganglion, thus triggering trigeminal neuralgia. Surgery for trigeminal neuralgia: Under general anesthesia, a 4-6 cm incision is made behind the affected ear along the hairline, the skin and muscles are retracted to reveal the mastoid root, and a 3 cm diameter bony window is drilled. The dura mater is cut and the cerebrospinal fluid is aspirated under the microscope, the arachnoid is cut and the trigeminal nerve root is explored, and the responsible vessels (one or more) that are compressing the trigeminal nerve root are found. The common ones are the superior cerebellar artery and its branches (in case of compression by the rock vein, the rock vein must be dissected). The responsible vessel is freed by microdissection and then padded with a tefflon surface. The procedure is minimally invasive and has a good prognosis. It is the treatment of choice for trigeminal neuralgia.