Trigeminal neuralgia and facial spasm are the most common cranial nerve disorders. Modern medicine has made it clear that the main cause of these two diseases is the neurological hyperfunction syndrome caused by the compression of microvessels into the physiological weak zone of the nerve roots, and microvascular decompression surgery cures the disease by pushing the responsible vessels that compress the nerve away from the physiological weak zone and relieving the nerve from compression. It is the preferred treatment method in the international neurosurgical community. Trigeminal neuralgia is a recurrent severe pain of pins and needles and burning in the trigeminal nerve distribution area on one side of the face. The pain often occurs suddenly without aura and lasts for a few seconds or minutes, with intervals as normal. As the disease progresses, the frequency of attacks increases, the pain level worsens, and the intervals shorten. Some patients have “trigger points”, which can cause painful episodes by slight touching of this area. The trigger points are mostly located on the affected side of the mouth and nose, and patients often refuse to talk, wash their faces, eat, brush their teeth, etc. due to fear of pain. Myth 1: Trigeminal neuralgia in the guise of toothache Liu, a 20-year-old master in Yangpu District, has been suffering from toothache for 20 years. At the beginning, several teeth on the lower right side of his mouth were often painful, like many needles sticking in the flesh, and radiated to the front of his right ear. After having a large tooth removed by a dentist, the pain seemed to go away. For 20 years, he went from one dental clinic to another, and finally had all the teeth on the lower right side extracted, but the toothache still haunted him, causing him to bang his head against the wall and even to think of suicide when the pain flared up. Myth 2: Is it true that the left eye jumps for money and the right eye jumps for trouble? The first thing you need to do is to be aware of facial muscle twitching? Three years ago, Zhang appeared to jump at the corner of his left eye, which can jump more than 10 times a day, ranging from 3 – 5 minutes each time. The family and friends said, moncler outlet online, Zhang will be rich, recently there will be fortune, not said “left eye jumping money, right eye jumping disaster”, moncler left eye jumping, is a happy event. Master Zhang cheerfully did not take it seriously, and did not think about the matter of wealth. But a few months later, the fortune was not issued, the left eye but jumping more powerful, can jump to more than 20 times a day, long time to 10 minutes, serious when the eyes can not open, the corners of the mouth followed by twitching. The family then realized that moncler outlet online what may not come to fortune, this may be a disease. This year, the children took Zhang moncler to Shanghai Quyang Hospital Brain Center for consultation, was diagnosed with facial muscle spasm. Myth 3: Injections on the face can cure trigeminal neuralgia and facial muscle spasm with no side effects. Trigeminal nerve peripheral branch closure (injection) is a common method of clinical treatment for trigeminal neuralgia in the past. The injection sites are mainly the bone holes through which the trigeminal nerve branches pass, such as the supraorbital hole, infraorbital hole, inferior alveolar hole, chin hole and pterygopalatine hole. The drugs used include anhydrous ethanol, phenol solution, etc. The pain relief range is limited by trigeminal nerve peripheral branch closure treatment, the principle of which is the destruction of the peripheral branch of the trigeminal nerve, and therefore cause facial sensory disorders, thus relieving pain, with an efficiency of 80% and a recurrence rate of 90% within one year. Myth 4: “Acupuncture” and Chinese herbal medicine can cure facial spasm and trigeminal neuralgia. Acupuncture treatment is easy to apply in clinical practice and basically has no side effects. It may be effective in some patients for a short period of time, but not in most patients. Moreover, even for those patients who are effective, the effect is not consolidated and relapses soon. Chinese medicine treatment for these two diseases is generally less effective, and a cure is not even possible. The cause of this disease is the nerve root, that is, the central vicinity of the compression by blood vessels, so lifting the compression is the most fundamental treatment method. Myth 5: Western drugs such as oral carbamazepine can cure facial muscle spasm and trigeminal neuralgia. Patients with trigeminal neuralgia can choose to take drugs such as carbamazepine and phenytoin sodium orally at the beginning of the disease, which has certain efficacy and about 60% can be better controlled. Long-term use should pay attention to the toxic side effects, and women of childbearing age should take into account the teratogenic effects of the drugs. In the later stages of the disease, drugs are often stopped because of toxic side effects or reduced efficacy, and symptoms recur. Oral medications for facial spasm are rarely effective. Myth 6: Surgery can be dangerous or even life-threatening, and there is really no way to take surgical treatment again. Modern medicine has confirmed that facial nerve microvascular decompression surgery is an extremely delicate cranial nerve surgery that requires a physician with a considerable foundation in microsurgery to perform. The surgery reveals and dissects the nerve in question and finds the compressing vessels. The nerve is then nudged out of the way while preserving the normal function of the nerve and blood vessels. The surgery is performed in a narrow space between the brainstem, cerebellum, and cranial wall, so there is no damage to brain tissue, nerves, or blood vessels. The total surgical effect can reach 98% and almost no recurrence for life, which is much higher than other treatments. Of course, there are some risks, but the chance of serious complications such as death is similar to that of appendicitis surgery. Myth #7: Complications of surgery are serious and can lead to a crooked face and numbness of the face. Complications of foramen lock surgery include hearing loss and facial hypesthesia, but with the improvement of microsurgery techniques, the incidence of these complications is very low in large neurosurgical medical institutions, and except for hearing loss (incidence of about 1%) which is difficult to recover, most of the symptoms of cranial nerve injury are mild and can be gradually recovered.