Trigeminal neuralgia is a disorder of the fifth cranial nerve that causes episodes of intense, stabbing, electric shock-like pain that lasts from few seconds to few minutes in the areas of the face where the branches of the nerve are distributed. More than one nerve branch can be affected by the disorder. We report an unusual case of trigeminal neuralgia affecting right side of face presenting atypical features of neuralgia and not responding to the usual course of treatment. The magnetic resonance imaging study of brain revealed a large extra-axial mass involving right cerebellopontine angle region causing moderate pressure effect on trigeminal nerve and brain stem. The aim of this case report is to show a tumor of cerebellopontine angle, presenting clinically as atypical trigeminal neuralgia.
Tobacco use is one of the leading preventable causes of premature death, disease and disability around the world. An estimated 4.9 million deaths occurring annually can be attributed to tobacco use. This study was carried out to assess awareness of patients about tobacco habit and their willingness to quit the habit. A cross sectional study was conducted amongst the patients. The sample size was decided based on prevalence rate of awareness in previous studies. The study comprised of 200 subjects. Pre-set pre-tested questionnaire was used for interview purpose; the patients were given a questionnaire consisting of 13 questions regarding Personal information, education, duration & frequency of their tobacco habits, its hazards and their willingness to quit the habit. There is an urgent need to take effective steps, especially on launching community awareness programs for the school children and public to educate them about the consequences of tobacco use, and on counselling of patients for de-addiction of this habit.
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