Hello,
In your case, I think that it can be trigeminal neuralgia. Trigeminal neuralgia is very painful swelling (inflammation) of the nerve (trigeminal nerve) that delivers feeling to the face and "surface" of the eye. Trigeminal neuralgia causes severe, short-lasting (only a few seconds) facial pain on the side of the affected nerve even by slight touch. Mostly affects elderly females. May be caused in multiple sclerosis also.
According to what I've read Trigeminal Neuralgia can be caused by a blood vessel or vein pressing on the Trigeminal nerve, by MS, by tumors, or by damage to the Trigeminal nerve during a surgical procedure. I'm not really sure about a bump on the head.
There are different types of "neuralgia" -- you may want to post your question on the Neurology community or do a search on this website -- if you are asking your question about "neuralgia" in general.
Hello,
From your symptoms the possibilities of trigeminal neuralgia and temporal arteritis need to be ruled out. Trigeminal neuralgia is painful swelling (inflammation) of the nerve (trigeminal nerve) that delivers feeling to the face and "surface" of the eye. Trigeminal neuralgia causes severe, short-lasting (only a few seconds) facial pain on the side of the affected nerve even by slight touch. Mostly affects elderly females. May be caused in multiple sclerosis also.
I went to see my PCP and he thinks it is Trigeminal Neuralgia and wants to do an MRI. Are my symptoms consistant with TN? Does TN start with low grade pain and numbness and then increase in pain over time? How long does it take for the pain to intensify? The numbness is constant and low grade pain is triggered by lifting my left eybrow?
Please help me understand the progression of this condition.
Thanks!
You need to be investigated for trigeminal neuralgia and temporal arteritis. Trigeminal neuralgia is a nerve disorder that causes a stabbing electric shock like pain in parts of face. Various possible causes are multiple sclerosis and pressure on the nerve from a swollen blood vessel. Pain may be triggered by touch, sounds, chewing and light touch on face. Certain blood tests, MRI brain and trigeminal reflex testing apart from a neurological examination are required.
Hi, Thank you for your question. Trigeminal neuralgia may be presented with typical one sided facial pain extending to temple and eye( ophthalmic branch of trigeminal nerve may be involved) and sore gums of the teeth of same side (maxillary branch of 5th nerve). Trigeminal neuralgia may have a triggering factor like recent history of tooth extraction, touch, cold breeze or hot sensation etc. which you need to evaluate and avoid.
if you bring this up to your doctor he will probably want an mri to rule out other possible causes, trigeminal neuralgia is usually diagnosed by patient description and process of elimination.
of the eye. Trigeminal neuralgia causes severe, short-lasting (only a few seconds) facial pain on the side of the affected nerve even by slight touch. Mostly affects elderly females. May be caused in multiple sclerosis also.
Diagnosis is by nerve conduction tests coupled with electromyography and CT or MRI head. It helps in ruling out other causes of facial pain like cluster headaches, atypical neuralgia and myofascial pain.
Symptomatic trigeminal neuralgia is usually caused by multiple sclerosis or by tumours arising near the trigeminal nerve root.
Differential diagnosis of trigeminal neuralgia:
Cluster headache - Longer-lasting pain; orbital or supraorbital; may cause patient to wake from sleep; autonomic symptoms
Dental pain (e.g.
The various causes of facial numbness on one side of the face are diabetes mellitus, peripheral nerve trauma, stroke, bells or lower motor neuron palsy, acoustic neuroma and trigeminal neuralgia. Consult a neurologist if there has been any such recent development in your husband. Dental consult is also warranted to rule out trigeminal nerve involvement or any dental cause of numbness. Take care.
Hi,
The common causes of shooting pains on right side of head are trigeminal neuralgia, temporal arteritis, tension headaches etc.In trigeminal neuralgia there are successive bouts of face pain. This pain occurs when a blood vessel compresses the trigeminal nerve as it leaves the brain stem. Temporal arteritis is caused due to inflammation of medium and large sized arteries bringing blood to the head.
The typical form (caused by nerve compression in the head) and so-called atypical trigeminal neuralgia (all remaining forms, and can have many different causes). To find the right treatment it is important to find a doctor (neurologist) who knows enough about this to give you a correct diagnosis and better chances for treatment.
Since you are having an MRI next week, you may want to ask about this possible compression since that can be looked at with an MRI.
I am a 38 year old female who was just recently diagnosed with trigeminal neuralgia. Back in 2003, I had brain surgery to remove a pinealoma and had a shunt placed less than a month later due to meningitis and hydrocephalus. My question is whether trigeminal neuralgia could be caused by scar tissue from the brain surgery. I understand that the trigeminal nerve begins at the base of the skull which is where my incision began for brain surgery. I have an appt. with a new neurologist on Nov.
Dear Friend,
Trigeminal Neuralgia is a really painful condition.However the lesion in your white matter may not linked with the same.If , after numerous MRI's nothing conclusive has been found about your brain's white matter lesions,then it's better to pause the things.
However the alarming thing is the sporadic weakness in your legs.I would suggest you to get a MRI screening of the full back.Maybe it will reveal more findings rather than multiple brain MRI's.
Sounds like trigeminal neuralgia type 2 (which is the constant aching, burning, stabbing pain of somewhat lower intensity than type 1). The underlying cause of any type of neuralgia is damage to a nerve. Causes include shingles, syphilis, MS, Lyme Disease, vitamin B12 deficiency, pressure or injury to nerves due to a slipped discs or tumour to name a few.
any other specialty referrals you may need. Do no be surprised if an MRI of the brain is ordered. Some cases of Trigeminal Neuralgia are caused by a blood vessel lying near the Trigeminal Ganglion in the brain.
Information contained within this reply is intended solely for general educational purposes and is not intended nor implied to be a medical diagnosis or treatment recommendation.
Hi,
Tingling of face may be due to nasal bone fracture,trigeminal neuralgia,migraine,diabetes,vitamin B complex deficiency or underlying brain pathology.In your case MRI brain is normal,so think on other causes and check your investigation lists wether you have tested for all these.If every test result is normal then it could be psychosomatic.
Trigeminal neuralgia (TN) rarely occurs with sinusitis but it has been described. The persistent congestion and your severe headache suggest that, despite the "clear" sinus x-rays you may have sinusitis or an infection of the sinus that has extended beyond the sinus walls.
That you are still ill suggests a possible infectious complication. You would do well to consult with an ENT specialist and have a CT scan of your sinuses and the adjacent areas.
Good luck.
3 neurologists and a neurosurgeon looking at my MRI have ruled out Trigeminal Neuralgia. However, my pain often seems to follow some branches. I have had 3 dental pain specialists with a CT scan rule out that there is any dental cause. Any other possible diagnosis besides temporal arteritis....
One of the causes of Trigeminal Neuralgia could be tumors. The Trigeminal nerve and its branches touches many parts of the face including the sinuses. (Google Gray's Anatomy (bartleby.com) for good diagrams of where the Trigeminal Nerve is).
I personally have not heard that TN loosens teeth -- although pain in the teeth and gums (because of all the areas the nerve touches) is common.
Hi, Thank you for your question. This may be Trigeminal neuralgia as you have typical one sided facial pain extending to temple and eye( ophthalmic branch of trigeminal nerve may be involved) and sore gums of the teeth of same side (maxillary branch of 5th nerve). Trigeminal neuralgia may have a triggering factor like recent history of tooth extraction, touch, cold breeze or hot sensation etc. which you need to evaluate and avoid.
i believe that i have trigeminal neuralgia but i do not know what tests are done to confrim this . can you tell me what tests have to be done so i can ask my physician to ruin these tests or demand they run them ? i have been so sick for so long . i literally have been to 25 -30 doctors to find out what is wrong with me . and every test comes back negative except that a test came back positve for fungal aspergillosis .but they do not say anything about treating it .
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