Pathology · single question
Trigeminal neuralgia (tic douloureux) most commonly affects which trigeminal division(s)?
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Correct answer: B. V2 and V3
Trigeminal neuralgia most commonly affects V2 (maxillary) and V3 (mandibular) divisions, or V3 alone. V1 (ophthalmic) involvement is the least common. The classic presentation is brief, electric shock-like, unilateral lancinating pain in the cheek, jaw, teeth, gums, or lips, triggered by light touch (trigger zones). The V2/V3 distribution makes it appear dental in origin, causing diagnostic confusion.