If there is no dental patholgy identified, based on your presentations , the differential diagnosis includes, but not limited to, trigeminal autonimic cephalgia, neurovascular orofacial pain,pretrigeminal neuralgia or trigeminal neuralgia.Seeing an orofacial pain specialist is advised.
Cluster headache - Longer-lasting pain; orbital or supraorbital; may cause patient to wake from sleep; autonomic symptoms
Dental pain (e.g.
Clinical differential diagnosis includes, but not limited to, neurovascular orofacial pain, atypical odontalgia, traumatic trigeminal neuralgia, as wellas prerigeminal neuralgia. Seeing an orofaical pain specialist is advised.
Based on your descriptions and assuming past medical history is non-contributory, clinical differential diagnosis includes, but not limited to, deafferentation pain, traumatic trigeminal neuralgia, pre-trigeminal neuralgia, and neurovascular orofacial pain.Seeing an orofacial pain specialist or neurologist is advised.
s cave with infiltration of the adjacent medical temporal lobe and pterygoid process. Differential diagnosis includes NPC and lymphoma.
2. Small vessel microangiopathy disease (leukoariosis).
Findings:
an enhancing lesion is noted in the right Meckel's cave and adjacent medical temporal lobe as well we infiltration into the right pterygoid plate.
He is 80 years old. Doctor had gave him some medicine, but after he applied the medicine, the headache does not reduce but he feel dizzy.
Seeing an orofacial pain specialist is advised. Clinical differential diagnosis includes, but not limited to, atypical odontalgia, neurovascualr orofacial pain, and trigeminal neuralgia.
I feel like a limp dish rag. I have trigeminal neuralgia, polymyalgia rheumatica, and fibromyalgia, but my doctors say it is not caused by any of them or the medications I am taking?
Has anyone else experienced the same thing? What was your diagnosis? How did you treat it?
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.
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.
has suggested a diagnosis of Trigeminal Neuralgia. I am on a wide host of medications but not getting relief. I have had MRI, CT scan, etc... What do you suppose I do next. Does this sound like a likely diagnosis?
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.
Does Trigeminal Neuralgia worsen with age. I've tried Tegretol but the pain has some back agaiin after about a year and is very, very intense. It is like a needle made of glass penetrating the right side of my nose and going into my head. What is the best treatment for this and can it be cured completely.
This discussion is related to <a href='/posts/show/894401'>Trigeminal neuralgia more help</a>.
Hi, Thank you for your question 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. Drug of choice for trigeminal neuralgia is carbamazepine but as the dose may vary according to severity therefore I would advice an oral medicine specialist consultation or at least a physician to confirm this diagnosis and get you treated accordingly. Take care.
I was diagnosed a few months ago with trigeminal neuralgia and am wondering if anyone else has experienced symptoms like lazy eye and high heart rate? Am worried because I haven't seen anyone mention these symptoms on any other site.
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.
t even done with ms protocol, but was done for a bout of trigeminal neuralgia. The only thing listed in the differential was demyelination.
I had contrast with an mri several months later and there were no enhancing lesions at that time either (well after the relapse) but the original lesions looked identical to the first mr image (two more super tiny ones). So yes, contrast is not necessary to show lesions, just to identify whether or not they are active.
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 have been suffering for 2-1/2 years with oral facial pain. It began on the left and is now bilateral. I get severe, constant pain in the upper gums, teeth, cheeks, temples, jaws, neck. At times there are sharp twinges, but mostly it is a deep, constant ache. I have had close to pain-free moments, but just when i think I'm cured, it flares up. I have had 2 diagnosis. TMJ with osteoarthritis of the jaw joints and cervical spine. The other diagnosis is from a neurologist.
I just found out that I do have Trigeminal Neuralgia. I have the same symptons you have and I have researched this many people have unneccesary procedures done on their teeth thinking its that. I would recommend before you undergo the root canal seeing a Neurologist and having them do a MRI they will be able to see if its the Trigeminal Neuralgia by this test. I hope this helps, I know how
frustrating this can be and also how painful it is. Please let me know what happens.
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