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The List data type is an array, which enables you to hold data of different types. Unlike in C, Lists begin at index one, not zero. In addition, you can nest Lists within Lists:

Trigeminal neuralgia ( tic douloureux ) is most common in middle and later life It affects women more frequently than men

Momentary episodes of sudden lancinating facial pain occur and commonly arise near one side of the mouth and shoot toward the ear, eye, or nostril on that side The pain may be triggered or precipitated by such factors as touch, movement, drafts, and eating Indeed, in order to lessen the likelihood of triggering further attacks, many patients try to hold the face still while talking Spontaneous remissions for several months or longer may occur As the disorder progresses, however, the episodes of pain become more frequent, remissions become shorter and less common, and a dull ache may persist between the episodes of stabbing pain Symptoms remain confined to the distribution of the trigeminal nerve (usually the second or third division) on one side only

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Facial pain without the typical features of trigeminal neuralgia is generally a constant, often burning pain that may have a restricted distribution at its onset but soon spreads to the rest of the face on the affected side and sometimes involves the other side, the neck, or the back of the head as well The disorder is especially common in middle-aged women, many

10. Change the button1_Click event handler, adding the following code. This code will test whether the timer is running (if so, its IsEnabled property is true) to start the timer and set the button s text to Stop , or to stop the timer and set the button s text to Start :

The characteristic features of the pain in trigeminal neuralgia usually distinguish it from other causes of facial pain Neuro-

of them depressed, but it is not clear whether depression is the cause of or a reaction to the pain Simple analgesics should be given a trial, as should tricyclic antidepressants, carbamazepine, oxcarbazepine, and phenytoin; the response is often disappointing Opioid analgesics pose a danger of addiction in patients with this disorder Attempts at surgical treatment are not indicated

Facial pain may be caused by temporomandibular joint dysfunction in patients with malocclusion, abnormal bite, or faulty dentures There may be tenderness of the masticatory muscles, and an association between pain onset and jaw movement is sometimes noted This pattern differs from that of jaw (masticatory) claudication, a symptom of giant cell arteritis, in which pain develops progressively with mastication Treatment of the underlying joint dysfunction relieves symptoms A relationship of facial pain to chewing or temperature changes may suggest a dental disturbance The cause is sometimes not obvious, and diagnosis requires careful dental examination and x-rays Sinusitis and ear infections causing facial pain are usually recognized by the history of respiratory tract infection, fever, and, in some instances, aural discharge There may be localized tenderness Radiologic evidence of sinus infection or mastoiditis is confirmatory Glaucoma is an important ocular cause of facial pain, usually localized to the periorbital region On occasion, pain in the jaw may be the principal manifestation of angina pectoris Precipitation by exertion and radiation to more typical areas establish the cardiac origin

private void button1_Click(object sender, EventArgs e) { if (!timer1.Enabled) { timer1.Start( ); this.button1.Text = "Stop"; } else { timer1.Stop( ); this.button1.Text = "Start"; } }

Glossopharyngeal neuralgia is an uncommon disorder in which pain similar in quality to that in trigeminal neuralgia occurs in the throat, about the tonsillar fossa, and sometimes deep in the ear and at the back of the tongue The pain may be precipitated by swallowing, chewing, talking, or yawning and is sometimes accompanied by syncope In most instances, no underlying structural abnormality is present; multiple sclerosis is sometimes responsible Oxcarbazepine and carbamazepine (see Table 24 3) are the treatments of choice and should be tried before any surgical procedures are considered Microvascular decompression is generally preferred over destructive surgical procedures such as partial rhizotomy in medically refractory cases and is often effective without causing severe complications

Common infections that occur with greater frequency in drug users include: Skin infections, aspiration pneumonia, tuberculosis Hepatitis A, B, C, D; STDs; AIDS Pulmonary septic emboli, infective endocarditis, osteomyelitis, and septic arthritis Rare infections in the United States include tetanus, malaria, and melioidosis

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