Trigeminal neuralgia
The exact cause of trigeminal neuralgia isn't known, but it's often thought to be caused by compression of the trigeminal nerve or an underlying condition that affects this nerve.
The trigeminal nerve also called the fifth cranial nerveprovides sensation to the face. You have one on each side.
Evidence suggests that in up to 95% of cases, trigeminal neuralgia is caused bypressure on the trigeminal nerve close to where it enters the brain stem, the lowest part of the brain that merges with the spinal cord.
In most cases the pressure is caused by an artery or vein squashing (compressing) the trigeminal nerve. These are normal blood vessels that happen to come into contact with the nerve at a particularly sensitive point.
It's not clear why this pressure can cause painful attacks in some people but not others, as not everyone with a compressed trigeminal nerve will experience pain.
It may be that, in some people, the pressure on the nerve wears away its protective outer layer (myelin sheath), which may cause uncontrollable pain signals to travel along the nerve.
However, this doesn't fully explain why periods without symptoms (remission) can occur and why pain relief is immediate after a successful operation to move the blood vessels away from the nerve.
Other reasons why the trigeminal nerve can become compressed or damaged include:
Find out about trigeminal neuralgia, which is sudden, severe facial pain, often described as sharp, shooting or like an electric shock.
The main symptom of trigeminal neuralgia is sudden attacks of severe, sharp and shooting facial pain that last from a few seconds to about two minutes.
Read about the causes of trigeminal neuralgia. In most cases it's thought to be caused by compression of the trigeminal nerve or an underlying condition that affects this nerve.
Find out how trigeminal neuralgia is diagnosed. As the pain is often felt in the jaw, teeth or gums, many people often visit their dentist initially, rather than their GP.
Read about the treatments available for trigeminal neuralgia. A number of medications or surgical procedures can be used to provide pain relief. Avoiding triggers can also help.