{"id":40867,"date":"2026-10-29T18:00:00","date_gmt":"2026-10-29T17:00:00","guid":{"rendered":"https:\/\/www.mgc.es\/?p=40867"},"modified":"2026-10-27T12:01:03","modified_gmt":"2026-10-27T11:01:03","slug":"neuralgia-del-trigemin-causes-del-dolor-facial-agut","status":"publish","type":"post","link":"https:\/\/www.mgc.es\/ca\/blog\/neuralgia-del-trigemin-causes-del-dolor-facial-agut\/","title":{"rendered":"Neur\u00e0lgia del trigemin: causes del dolor facial agut"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\"><p class=\"ez-toc-title\" style=\"cursor:inherit\">\u00cdndex de continguts<\/p>\n<\/div><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.mgc.es\/ca\/blog\/neuralgia-del-trigemin-causes-del-dolor-facial-agut\/#Que_es_el_trigemin\" >Qu\u00e8 \u00e9s el trigemin<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.mgc.es\/ca\/blog\/neuralgia-del-trigemin-causes-del-dolor-facial-agut\/#Simptomes_de_la_neuralgia_del_trigemin\" >S\u00edmptomes de la neur\u00e0lgia del trigemin<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.mgc.es\/ca\/blog\/neuralgia-del-trigemin-causes-del-dolor-facial-agut\/#Per_que_es_produeix\" >Per qu\u00e8 es produeix<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.mgc.es\/ca\/blog\/neuralgia-del-trigemin-causes-del-dolor-facial-agut\/#Tipus_de_neuralgia_del_trigemin\" >Tipus de neur\u00e0lgia del trigemin<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.mgc.es\/ca\/blog\/neuralgia-del-trigemin-causes-del-dolor-facial-agut\/#Com_es_diagnostica\" >Com es diagnostica<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.mgc.es\/ca\/blog\/neuralgia-del-trigemin-causes-del-dolor-facial-agut\/#Com_es_tracta\" >Com es tracta<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.mgc.es\/ca\/blog\/neuralgia-del-trigemin-causes-del-dolor-facial-agut\/#Que_pot_fer_MGC_si_tens_neuralgia_del_trigemin\" >Qu\u00e8 pot fer MGC si tens neur\u00e0lgia del trigemin<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.mgc.es\/ca\/blog\/neuralgia-del-trigemin-causes-del-dolor-facial-agut\/#Bibliografia\" >Bibliografia<\/a><\/li><\/ul><\/nav><\/div>\n\n<p class=\"wp-block-paragraph\"><strong>Resposta r\u00e0pida:<\/strong> La neur\u00e0lgia del trigemin \u00e9s un trastorn neurol\u00f2gic que provoca episodis de dolor facial intens, habitualment en un sol costat de la cara. Est\u00e0 causada en la majoria dels casos per la compressi\u00f3 del nervi trigemin. Les seves principals caracter\u00edstiques s\u00f3n:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>El dolor es descriu com una rampa el\u00e8ctrica molt intensa, de durada de segons a minuts.<\/li>\n\n\n\n<li>Pot desencadenar-se amb activitats quotidianes com parlar, mastegar o rentar-se les dents.<\/li>\n\n\n\n<li>Es diagnostica principalment per la descripci\u00f3 cl\u00ednica i la resson\u00e0ncia magn\u00e8tica.<\/li>\n\n\n\n<li>El tractament de primera l\u00ednia \u00e9s farmacol\u00f2gic; si no funciona, hi ha opcions intervencionistes.<\/li>\n\n\n\n<li>El seu impacte emocional \u00e9s significatiu: l&#8217;ansietat i els s\u00edmptomes depressius s\u00f3n freq\u00fcents en pacients amb aquesta condici\u00f3.<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"880\" height=\"587\" src=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/09\/neuralgia-trigemino-880x587.jpg\" alt=\"\" class=\"wp-image-40866\" srcset=\"https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/09\/neuralgia-trigemino-880x587.jpg 880w, https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/09\/neuralgia-trigemino-440x293.jpg 440w, https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/09\/neuralgia-trigemino-768x512.jpg 768w, https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/09\/neuralgia-trigemino-1536x1024.jpg 1536w, https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/09\/neuralgia-trigemino-2048x1365.jpg 2048w, https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/09\/neuralgia-trigemino-scaled.jpg 1024w\" sizes=\"auto, (max-width: 880px) 100vw, 880px\" \/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Que_es_el_trigemin\"><\/span>Qu\u00e8 \u00e9s el trigemin<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">El trigemin \u00e9s el principal nervi de la cara. Neix a l&#8217;enc\u00e8fal i es divideix en tres branques:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>La branca oft\u00e0lmica, que innerva el front, els ulls i el cuir cabellut<\/li>\n\n\n\n<li>La branca maxil\u00b7lar, que innerva la galta, el llavi superior i les dents de dalt<\/li>\n\n\n\n<li>La branca mandibular, que innerva la mand\u00edbula, la llengua i les dents inferiors<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Totes elles proporcionen als m\u00fasculs del cap la innervaci\u00f3 necess\u00e0ria, \u00e9s a dir, els senyals nerviosos que requereix l&#8217;activaci\u00f3 d&#8217;aquests m\u00fasculs.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Simptomes_de_la_neuralgia_del_trigemin\"><\/span>S\u00edmptomes de la neur\u00e0lgia del trigemin<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">La neur\u00e0lgia del trigemin \u00e9s un trastorn que causa un dolor intens en un costat de la cara. Al principi, els pacients poden tenir crisis de dolor lleus i curtes. Per\u00f2 el trastorn pot empitjorar i causar episodis m\u00e9s freq\u00fcents i de major durada.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c9s m\u00e9s freq\u00fcent en dones que en homes, i sol apar\u00e8ixer per damunt dels cinquanta anys.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El dolor t\u00e9 algunes caracter\u00edstiques molt definides:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Afecta un sol costat de la cara<\/li>\n\n\n\n<li>Apareix en crisis breus, de durada que pot variar entre uns quants segons i pocs minuts<\/li>\n\n\n\n<li>Els pacients descriuen el dolor com una rampa el\u00e8ctrica intensa<\/li>\n\n\n\n<li>Les crisis poden repetir-se moltes vegades al llarg del dia<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Moltes activitats quotidianes poden desencadenar una crisi: parlar, mastegar, rentar-se les dents, afaitar-se o un simple fregament a la pell.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Alguns pacients es troben perfectament en els per\u00edodes lliures de crisis, per\u00f2 hi ha casos que refereixen un dolor continu.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La neur\u00e0lgia t\u00e9 un gran impacte en la vida del pacient. El dolor pot ser extremadament intens; de fet, la medicina el considera un dels m\u00e9s forts que es poden experimentar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">La por que aparegui pot portar el pacient a evitar les activitats que el desencadenen, algunes tan elementals com parlar o menjar, cosa que els porta a a\u00efllar-se i patir ansietat i s\u00edmptomes depressius.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Per_que_es_produeix\"><\/span>Per qu\u00e8 es produeix<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Es produeix generalment per la compressi\u00f3 del nervi, habitualment causada per un vas sanguini a la seva sortida del cervell. Aquesta compressi\u00f3 afecta la transmissi\u00f3 el\u00e8ctrica normal del nervi i \u00e9s el que provoca el dolor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Altres causes poden derivar d&#8217;altres trastorns o malalties, com ara:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tumors o lesions del sistema nervi\u00f3s<\/li>\n\n\n\n<li>Esclerosi m\u00faltiple, que \u00e9s una malaltia cr\u00f2nica del sistema nervi\u00f3s central que afecta el cervell i la medul\u00b7la espinal. \u00c9s un problema autoimmune en el qual el cos ataca per error la capa protectora dels nervis (la mielina), interrompent o alterant la comunicaci\u00f3 normal entre el cervell i els m\u00fasculs.<\/li>\n\n\n\n<li>Una intervenci\u00f3 quir\u00fargica o un traumatisme previ. Totes dues causes s\u00f3n poc freq\u00fcents.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Hi ha casos en qu\u00e8 no es pot detectar una causa clara, tot i que el dolor sigui t\u00edpic de la neur\u00e0lgia. En aquest cas parlem de neur\u00e0lgia idiop\u00e0tica.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Tipus_de_neuralgia_del_trigemin\"><\/span>Tipus de neur\u00e0lgia del trigemin<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hi ha dues formes principals: tipus I i tipus II.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">El tipus I \u00e9s el m\u00e9s conegut i freq\u00fcent i es caracteritza per:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>El dolor apareix nom\u00e9s durant les crisis<\/li>\n\n\n\n<li>No hi ha cap s\u00edmptoma en els per\u00edodes entre elles<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">En el tipus II:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hi ha un dolor \u00abde fons\u00bb, continu<\/li>\n\n\n\n<li>A aquest dolor se n&#8217;hi superposa un altre de m\u00e9s intens<\/li>\n\n\n\n<li>Sol apar\u00e8ixer despr\u00e9s d&#8217;anys d&#8217;evoluci\u00f3 del tipus I<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Com_es_diagnostica\"><\/span>Com es diagnostica<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">No hi ha cap an\u00e0lisi ni prova que confirmi el diagn\u00f2stic, de manera que s&#8217;arriba a ell basant-se en la descripci\u00f3 del dolor.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">No obstant aix\u00f2, s&#8217;acostuma a sotmetre el pacient a una <a href=\"https:\/\/www.mgc.es\/ca\/blog\/diferencia-tac-vs-ressonancia-preu\/\">resson\u00e0ncia magn\u00e8tica<\/a> del cervell, que permet:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Confirmar o descartar causes inherents pr\u00e8vies<\/li>\n\n\n\n<li>Comprovar l&#8217;exist\u00e8ncia d&#8217;una compressi\u00f3 vascular (\u00e9s a dir, d&#8217;un vas sanguini que oprimeixi el nervi)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">El resultat de la resson\u00e0ncia magn\u00e8tica, analitzat per un neur\u00f2leg especialitzat, permet triar el tractament m\u00e9s adequat.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Com_es_tracta\"><\/span>Com es tracta<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">El tractament de prefer\u00e8ncia, que sol ser el m\u00e9s efica\u00e7, \u00e9s el farmacol\u00f2gic. Generalment es pauten f\u00e0rmacs antiepil\u00e8ptics per estabilitzar l&#8217;activitat del nervi. Requereix ajustar correctament les dosis i controlar els efectes secundaris.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Si el tractament farmacol\u00f2gic no \u00e9s efica\u00e7 o el pacient no el tolera, es recorre a opcions intervencionistes:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Descompressi\u00f3 microvascular<\/strong>, que persegueix separar el vas que causa la compressi\u00f3<\/li>\n\n\n\n<li><strong>T\u00e8cniques percut\u00e0nies<\/strong>, procediments m\u00e8dics o quir\u00fargics que es duen a terme a trav\u00e9s de la pell, mitjan\u00e7ant petites incisions o puncions, combinats amb t\u00e8cniques d&#8217;imatge com raigs X o tomografies<\/li>\n\n\n\n<li><strong>Radiocirurgia<\/strong>, una t\u00e8cnica no invasiva i de gran precisi\u00f3 que subministra una dosi molt alta de radiaci\u00f3 concentrada en un tumor o una lesi\u00f3 petits<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">L&#8217;abordatge de la malaltia ha de ser integral, amb el tractament m\u00e8dic adequat, un seguiment especialitzat i el suport psicol\u00f2gic que el pacient requereixi.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Que_pot_fer_MGC_si_tens_neuralgia_del_trigemin\"><\/span>Qu\u00e8 pot fer MGC si tens neur\u00e0lgia del trigemin<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">El diagn\u00f2stic i el seguiment de la neur\u00e0lgia del trigemin requereixen la intervenci\u00f3 de diversos especialistes: neur\u00f2leg, anestesi\u00f2leg del dolor i, sovint, un professional de la salut mental que ajudi a gestionar l&#8217;impacte emocional de la malaltia.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Amb l&#8217;asseguran\u00e7a de salut de MGC M\u00fatua tens acc\u00e9s a un <a href=\"https:\/\/www.mgc.es\/ca\/quadre-medic\/\">quadre m\u00e8dic<\/a> de m\u00e9s de 45.000 professionals i 40.000 centres a tot Espanya. Pots trobar neur\u00f2legs especialitzats sense necessitat de derivaci\u00f3 pr\u00e8via i, si en algun moment necessites suport psicol\u00f2gic, MGC cobreix fins a 24 visites anuals sense prescripci\u00f3 pr\u00e8via.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A m\u00e9s, si en un moment donat tens dubtes o vols orientaci\u00f3 abans d&#8217;acudir a consulta, pots utilitzar la <strong>teleconsulta m\u00e8dica disponible 24 hores<\/strong> (tel\u00e8fon 619 818 555) per parlar amb un metge sense sortir de casa.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Com que MGC \u00e9s una m\u00fatua sense \u00e0nim de lucre, els beneficis es reinverteixen en ampliar cobertures i millorar serveis, no en pagar dividends a accionistes. Aix\u00f2 es nota en l&#8217;atenci\u00f3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Si vols saber quina cobertura s&#8217;adapta millor a la teva situaci\u00f3, pots <a href=\"https:\/\/www.mgc.es\/ca\/calcula-preu-asseguranca-medica\/\">calcular el teu preu<\/a> sense comprom\u00eds o contactar amb la M\u00fatua al 931 221 550.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Davant d&#8217;un dolor facial molt intens i d&#8217;aparici\u00f3 sobtada, consulta sempre amb el teu metge. Si els s\u00edmptomes s\u00f3n greus o incapacitants, acudeix a urg\u00e8ncies o truca al 112.<\/em><\/p>\n\n\n\n<div style=\"height:50px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<hr class=\"wp-block-separator has-text-color has-cyan-bluish-gray-color has-alpha-channel-opacity has-cyan-bluish-gray-background-color has-background\"\/>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Bibliografia\"><\/span>Bibliografia<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.ninds.nih.gov\/health-information\/patient-caregiver-education\/fact-sheets\/trigeminal-neuralgia-fact-sheet\">NIH: La neur\u00e0lgia del trigemin<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.msdmanuals.com\/es\/hogar\/enfermedades-cerebrales-medulares-y-nerviosas\/dolores-de-cabeza\/neuralgia-del-trig%C3%A9mino\">Manual MSD: tractaments de la neur\u00e0lgia del trigemin<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Les cobertures exactes es defineixen en les condicions generals i particulars de cada p\u00f2lissa. Consulta sempre amb el teu metge abans de prendre decisions de salut.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Resposta r\u00e0pida: La neur\u00e0lgia del trigemin \u00e9s un trastorn neurol\u00f2gic que provoca episodis de dolor facial intens, habitualment en un sol costat de la cara. Est\u00e0 causada en la majoria dels casos per la compressi\u00f3 del nervi trigemin. Les seves principals caracter\u00edstiques s\u00f3n: Qu\u00e8 \u00e9s el trigemin El trigemin \u00e9s el principal nervi de la [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":40866,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[15],"tags":[],"class_list":["post-40867","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-salut"],"acf":[],"featured_image_src":"https:\/\/www.mgc.es\/wp-content\/uploads\/2026\/09\/neuralgia-trigemino-scaled.jpg","author_info":{"display_name":"Revista Inter\u00e8s Mutu","author_link":"https:\/\/www.mgc.es\/ca\/blog\/author\/interesmutu\/"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Neur\u00e0lgia del trigemin: causes del dolor facial agut - MGC M\u00fatua<\/title>\n<meta name=\"description\" content=\"Qu\u00e8 \u00e9s la neur\u00e0lgia del trigemin, per qu\u00e8 es produeix, quins s\u00edmptomes causa i quins tractaments existeixen per al dolor facial agut d&#039;origen neurol\u00f2gic.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.mgc.es\/?p=40862\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Neur\u00e0lgia del trigemin: causes del dolor facial agut - 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