A 63-year-old woman presents with recurrent, brief episodes of severe electric shock-like pain over the right cheek triggered by washing her face and chewing. Vital signs show BP 138/82 mmHg, HR 76/min, RR 14/min, temperature 37.0°C. Neurologic examination reveals normal strength and sensation; MRI brain with contrast shows no mass effect or demyelination. She denies facial weakness or hearing loss. She takes lisinopril for hypertension. Which of the following is the most likely diagnosis?
- A)Temporal arteritis
- B)Trigeminal neuralgiaGABARITO
- C)Glossopharyngeal neuralgia
- D)Herpes zoster ophthalmicus
- E)Cluster headache
Explicação
Trigeminal neuralgia is the correct answer because paroxysmal lancinating facial pain triggered by light touch in the trigeminal distribution is classic for this disorder, often due to vascular compression of CN V. Ver explicação completa e trilha adaptativa →