Corneal reflex is closing of the eyelids when the cornea is touched or a puff of air is blown on to it, mediated by the fifth cranial or trigeminal nerve and is ususlly absent in trigeminal neuralgia.
Usually trigeminal neuropathy is not related to connective tissue disorder.
Refer http://www.emedicinehealth.com/trigeminal_neuralgia_facial_nerve_pain/article_em.
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.
It is just like Trigeminal Neuralgia, but is caused by a lesion near or in another cranial nerve. It can be treated by the same meds that are used for TN.
Glosso(tongue) pharyngeal (upper throat) Nerve is the 9th CN.
Trigenimal (three Roots) Nerve - is the 5th CN. It is the main sensory nerve to the face.
Jen - Remember, just because they don't see a lesion, doesn't mean that there is no lesion there. Many, many lesions remain invisible to the MRI.
Tongue movements are controlled by the 12th cranial nerve (hypoglossal). The functioning of this nerve is what the doctor is looking for when he asks you to "stick out your tongue". Your condition suggests a palsy of the 12th cranial nerve, which can be caused by many things, from diabetes, to vitamin B-12 deficiency, to an aneurysm. This symptom, juxtaposed with migraine, would suggest an MRI would be appropriate.
I have a recent dx of Trigeminal Neuralgia from Primary Care and have been referred to Neurology for further evaluation. The pain distribution is unilateral and follows the sensory distribution of cranial nerve V at the maxillary area. History of previous trauma (neuroplasia) dates to 1997, though asymptomatic to current presentation. There is no prior history of TMJ, aneurysms, tumors or other common precipitants. I am 61 years old, consistent with typical onset.
I too am very interested in the cranial nerves. One of my symptoms over the last 10 years has been a LOT of shocks and paresthesias on both sides of my face (in my teeth and nose, too). I have also had strong twitching on one side, plus highly abnormal auditory EPs on both sides, which a past neuro called "cranial neuropathy."
Plus the spasmodic episodes of clicking in my left ear with pain/pressure behind the ear, which I believe is a 7th-nerve thing.
The symptoms you are describing bear resemblance to few possibilities like facial nerve palsy, trigeminal neuralgia MPDS( myofacial pain dysfunction) and then TMJ disorder due to strenuous opening of mouth for long sittings of RCT.
After a n MRI of brain, she gave me articles that involve freeing up nerve entrapment of 5th cranial nerve...All the proceedures were varying into brain procedures , some could cause paralysis of face. none of the procedures would involve relieving the the eye pain.
When I called the eye clinic that did the catract surgery to left eye, I mentioned I had peripheral neuralgia yet they performed surgery anyway.
At this time the dr.
I think it is something like 50% of MS patients will develop TN at some point. It is thought to be caused by direct demyelination of the Trigeminal Nerve (Cranial Nerve 5 - CN5) or a lesion near where CN5 inserts at the brainstem.
Mine started like an ache just above my ear and below my temple. All my upper teeth on the right side of my jaw hurt. Then I got that ZAP you get when the dentist sticks the needle into the hinge of your jaw to numb you up.
Hemi-facial numbness is also seen in Bell’s palsy, trigeminal neuralgia where a spasm may cause numbness, or due to acoustic neuroma which is a benign tumor of the eighth cranial nerve.
I think you should discuss these possibilities with your doctor. It is difficult to comment beyond this without examining. A comprehensive investigation is required keeping all the points in mind. Hope this helps. Please let me know if there is any thing else and do keep me posted. Take care!
This usually indicates an MS lesion somewhere from the brainstem to along the Trigeminal nerve which is one of the Cranial nerves.
It usually is severe stabbing pains which come with some sort of stimulation. The stim can be anything like touching the face or lips, chewing, stim to the tongue, even as mild as air blowing on the face.
Many researchers in the field also acknowledge an "Aytpical" Trigeminal Neuralgia.
29pm in Atypical Trigeminal Neuralgia
Atypical Trigaminal Neuralgia (ATN), or Type 2 Trigeminal Neuralgia , is a rare form of Trigeminal neuralgia, a disorder of the fifth cranial nerve. This may also be the most misdiagnosed form of neuralgia. The symptoms can be mistaken for migraines, dental problems such as TMJ, musculoskeletal issues, and hypochondriasis.
This could be a trigeminal neuralgia. It can start after infections. Trigeminal neuralgia can be difficult to treat. There are some good medicines available for it.
The pain of trigeminal neuralgia can be brought on by even a light touch of the fingers,
Try medicines for TN and also take care of your allergy.
Common cold, sinusitis, ear infection, sensory nerve compression, peripheral neuropathy as in diabetes, inflamed wisdom tooth, impacted wisdom tooth, dental caries, etc can all cause facial numbness and pain. Hemi facial numbness is also seen in Bell’s palsy, trigeminal neuralgia where a spasm may cause numbness, or due to acoustic neuroma which is a benign tumor of the eighth cranial nerve.
Maybe the accidental injury aggravated any of the above reasons.
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