Trigeminal neuralgia is nearly always unilateral. In rare cases of bilateral trigeminal neuralgia, individual attacks are usually unilateral, with distinct episodes involving each side of the face at separate times. A change in the location, severity, or quality of the pain should be an alert to the possibility of an alternative diagnosis. Symptomatic trigeminal neuralgia is usually caused by multiple sclerosis or by tumours arising near the trigeminal nerve root.
Thanks for responding Alex. I have experienced trigeminal neuralgia, but it didn't involve the tooth pain or roof of my mouth.
I will give the doc a call tomorrow if this persists.
Have a good evening.
I have what is called Paratrigeminal Neuralgia and it is related to Trigeminal Neuralgia which this could be related to. I am also thinking that it could be a paresthesia which is caused by nerves in your face. I think this is something worth mentioning to your neuro next time you see one.
org/posts/Multiple-Sclerosis/Attack-of-trigeminal-neuralgia--OMG/show/2646953#post_12856616) I moaned about it, but I have to say it was excruciating. Fine now, at least from that standpoint.
The standard treatment is Tegretol (carbamazepine). It turns out I can't tolerate that, as a reasonably effective dose wiped out my balance and had me staggering all over the place. It also almost destroyed my platelet count, which was down to 23.
Is it normal to feel random, short-lived stabs of pain in different parts of your body through out the day with ms? Every day I feel small but painful stabs of pain for example in my right forearm, then in my left palm, then later in my right ankle. Some days it is more frequent than others and some days it seems to focus on one side of my body. I also feel trigeminal neuralgia more or less, one episode a month. Anybody else deal with this?
Technically a bad enough urinary tract infection (UTI) could set off an MS relapse but a UTI wouldn't generally cause a full blown relapse, it's not uncommon for a UTI to cause a pseudo relapse though. A pseudo is not a true relapse but what happen's to an MSer when exposed too external heat, rise in temperature due to an infection, menstruation, too much physical activity etc.
I forgot to mention that Trigeminal Neuralgia is 300 times more common in MS than it is in the general population. So, yes, it would be related to the MS.
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.
If I had to guess, I would say you have trigeminal neuralgia or 5th nerve palsy.
I found this - *not to say this is what you have, but just that it covers a possibilty*
"The pre-operative MRIs of 68 patients without the diagnosis of multiple sclerosis who were operated for typical TN between 1998 and 2003 were retrospectively reviewed Four of these showed hyperintense lesions in the pons on T2 MRI sequences. No patient had prior surgery.
However, I had the same symptoms you were having and was diagnosed with Trigeminal Neuralgia. Its where one or more of the three main nerves in your face cause nerve pain, or neuralgia. The first nerve lays across the eyebrows, the second lays across your cheek bones and the third nerve lays across the chin. My doctor put me on Lyrica and Klonopin and it seems to help a little, although the pain does intensify and the pain medication does not work for it since it is nerve pain.
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.
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