A 61-year-old woman presents with brief episodes of excruciating electric shock-like pain over the right cheek and jaw triggered by brushing her teeth and chewing. Vital signs: BP 142/88, HR 78, RR 16, temperature 37.2°C, SpO2 98% on room air. MRI brain with contrast shows no tumor or demyelinating lesion. Neurologic examination reveals normal motor strength and reflexes. She takes no pain medications. Which of the following is the most likely diagnosis?

  1. A)Bell palsy
  2. B)Temporal arteritis
  3. C)Trigeminal neuralgiaGABARITO
  4. D)Cluster headache
  5. E)Migraine with aura

Explicação

Trigeminal neuralgia causes recurrent brief stabbing facial pain in the distribution of CN V, often triggered by light touch, chewing, or brushing teeth. Examination is often otherwise normal between attacks. Ver explicação completa e trilha adaptativa →

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