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Тройничный нерв — самый крупный из двенадцати черепных нервов, делится на три ветви, каждая из которых иннервирует определённые области лица [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/): \n* глазная ветвь — чувствительность лба и глаз [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/); \n* верхнечелюстная ветвь — чувствительность щёк, верхней челюсти, верхней губы и неба [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/); \n* нижнечелюстная ветвь — чувствительность нижней челюсти и нижней губы, а также движение мышц, участвующих в жевании и глотании [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/).\n\n\n\n## Причины\nОсновная причина — **сдавление корешка тройничного нерва** на фоне различных состояний [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/). Некоторые причины: \n* травма височно-нижнечелюстного сустава [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/); \n* врождённые аномалии развития костей черепа [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/); \n* опухоли головного мозга и лица [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/); \n* патологическое расширение сосудов [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/); \n* вирусная инфекция (герпес, полиомиелит, эпидемический паротит и др.) [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/). \n\nИногда точную причину сдавления тройничного нерва установить не удаётся [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/).\n\n## Симптомы\n**Основной признак** — приступ кратковременной, но интенсивной боли, напоминающей удар электрическим током [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/). Некоторые особенности: \n* возникает внезапно [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/); \n* обычно затрагивает только одну сторону лица [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/); \n* чаще всего появляется в нижней челюсти и щеке, реже — в области лба, носа или глаза [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/); \n* длится от нескольких секунд до двух минут [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/); \n* приступы могут следовать друг за другом [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/); \n* провоцируется лёгкими прикосновениями к лицу, бритьём, чисткой зубов, разговором, жеванием, глотанием, умыванием, ветром или даже улыбкой [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/). \n\nВо время приступа могут возникать непроизвольные сокращения лицевых мышц, иногда — слезотечение или слюнотечение на поражённой стороне [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/).\n\n## Диагностика\nПри появлении признаков невралгии тройничного нерва нужно обратиться к неврологу [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/). Врач проведёт осмотр и неврологическое обследование: проверит чувствительность на разных участках лица, рефлексы и силу жевательных мышц [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/). По показаниям проводят инструментальное обследование [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/): \n* **Магнитно-резонансная томография (МРТ)** — позволяет обнаружить возможные причины сдавления нерва [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/). \n* **Компьютерная томография** — используется, если МРТ противопоказана, а также для исключения заболеваний костей, переломов, воспалительных процессов в пазухах носа [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/).\n\n## Лечение\n**Лечение невралгии тройничного нерва направлено на уменьшение боли, снижение частоты приступов** [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/). Обычно сначала врач назначает медикаментозную терапию, а если она оказывается неэффективной, предлагает хирургические методы [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/). \n\n**Некоторые методы лечения**: \n* **Медикаментозная терапия** — приём препаратов, которые подавляют чрезмерную активность нервной системы, снимают боль и облегчают состояние [1](https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/). \n* **Физиотерапевтические процедуры** — электрофорез, магнитотерапия, ультразвуковая и лазерная терапия, которые помогают уменьшить воспаление и облегчить болезненность [3](https://yusupovs.com/clinics/tsentr-lecheniya-migreni/lechenie-troynichnogo-nerva/). \n* **Инъекции обезболивающих препаратов или ботокса** непосредственно в поражённый нерв, что позволяет временно блокировать болевые сигналы [3](https://yusupovs.com/clinics/tsentr-lecheniya-migreni/lechenie-troynichnogo-nerva/).","linksData":[{"sourceId":1,"url":"https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/","shownUrl":"https://www.fdoctor.ru/bolezn/nevralgiya_troynichnogo_nerva/","title":"Невралгия тройничного нерва - диагностика и лечение","shortUrl":"fdoctor.ru","isTranslated":false,"description":"","greenUrl":"fdoctor.ru"},{"sourceId":2,"url":"https://premiumzdravclinic.ru/nevralgiya-troynichnogo-nerva","shownUrl":"https://premiumzdravclinic.ru/nevralgiya-troynichnogo-nerva","title":"Лечение воспаления тройничного нерва на лице, Цена | Центр неврологии Premium ZdravClinic","shortUrl":"premiumzdravclinic.ru","isTranslated":false,"description":"","greenUrl":"premiumzdravclinic.ru"},{"sourceId":3,"url":"https://yusupovs.com/clinics/tsentr-lecheniya-migreni/lechenie-troynichnogo-nerva/","shownUrl":"https://yusupovs.com/clinics/tsentr-lecheniya-migreni/lechenie-troynichnogo-nerva/","title":"Лечение воспаления тройничного нерва на лице","shortUrl":"yusupovs.com","isTranslated":false,"description":"","greenUrl":"yusupovs.com"},{"sourceId":4,"url":"https://clinicamalyshevoy.ru/diseases/o-nevralgii-troynichnogo-nerva-/","shownUrl":"https://clinicamalyshevoy.ru/diseases/o-nevralgii-troynichnogo-nerva-/","title":"О невралгии тройничного нерва","shortUrl":"clinicamalyshevoy.ru","isTranslated":false,"description":"","greenUrl":"clinicamalyshevoy.ru"},{"sourceId":5,"url":"https://www.smclinic.ru/diseases/nevralgiya-troynichnogo-nerva/","shownUrl":"https://www.smclinic.ru/diseases/nevralgiya-troynichnogo-nerva/","title":"Невралгия тройничного нерва – симптомы, причины, признаки, диагностика и лечение в «СМ-Клиника»","shortUrl":"smclinic.ru","isTranslated":false,"description":"","greenUrl":"smclinic.ru"},{"sourceId":6,"url":"https://7010303.ru/articles/zabolevaniya/nevralgiya-troynichnogo-nerva/","shownUrl":"https://7010303.ru/articles/zabolevaniya/nevralgiya-troynichnogo-nerva/","title":"Невралгия тройничного нерва ✔️: симптомы, причины, диагностика и лечение","shortUrl":"7010303.ru","isTranslated":false,"description":"","greenUrl":"7010303.ru"},{"sourceId":7,"url":"https://fnkc-fmba.ru/zabolevaniya/nevrologiya-troynichnogo-nerva/","shownUrl":"https://fnkc-fmba.ru/zabolevaniya/nevrologiya-troynichnogo-nerva/","title":"Невралгия тройничного нерва - симптомы, лечение, причины, диагностика","shortUrl":"fnkc-fmba.ru","isTranslated":false,"description":"","greenUrl":"fnkc-fmba.ru"},{"sourceId":8,"url":"https://www.nbfgel.ru/spravochnik-zabolevaniy/troynichnogo-nerva-vospalenie/","shownUrl":"https://www.nbfgel.ru/spravochnik-zabolevaniy/troynichnogo-nerva-vospalenie/","title":"Воспаление тройничного нерва: симптомы, причины и методы лечения - NBF Gingival Gel","shortUrl":"nbfgel.ru","isTranslated":false,"description":"","greenUrl":"nbfgel.ru"},{"sourceId":9,"url":"https://volgograd.medsi.ru/spravochnik-zabolevaniy/nevralgiya-troynichnogo-nerva/","shownUrl":"https://volgograd.medsi.ru/spravochnik-zabolevaniy/nevralgiya-troynichnogo-nerva/","title":"Невралгия тройничного нерва. 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