A 48-year-old patient has been diagnosed with trigeminal neuralgia following recent episodes of unilateral face pain. The nurse should recognize what implication of this diagnosis?
A) The patient will likely require lifelong treatment with anticholinergic medications.
B) The patient has a disproportionate risk of developing myasthenia gravis later in life.
C) The patient needs to be assessed for MS.
D) The disease is self-limiting and the patient will achieve pain relief over time.
Ans: C
Feedback:
Patients that develop trigeminal neuralgia before age 50 should be evaluated for the coexistent of MS because trigeminal neuralgia occurs in approximately 5% of patients with MS. Treatment does not include anticholinergics and the disease is not self-limiting. Trigeminal neuralgia is not associated with an increased risk of myasthenia gravis.
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