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.
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.
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.
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.
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!
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 .
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.
I, too, have suffered with trigeminal neuralgia, which has been controlled with Neurontin and also steroid injection blocks in head and neck.
I hope this has been of some help to you.....Take care.....
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?
If your pain is not electrical in nature, it may not by trigeminal neuralgia. I would suggest seeing a neurologist or pain specialist to get a reevaluation.
Hello.
For a few months my trigeminal nerve has been irritated. It's the first and second branch. I experience the electrical shock (more like a tickle) that I've experienced with Trigeminal Neuralgia but there's no pain. It seems to happen often when my head is tilted forward/down and that makes me wonder if it could be an issue with my cervical spine. I really don't have any unusual discomfort in my neck. I don't have headaches or sinus pressure or anything.
Trigeminal Neuralgia is usually diagnosed after ruling out all other possibilities and listening to the patient's symptoms. Usually it's described as an intermittent electric type shock or jabs. It does manifest as a "toothache" like pain also and lots of people have unnecessary dental work because of that.
You describe waking up at night from pain and bad head aches.
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.
These symptoms are pointing towards trigeminal neuralgia, which is a nerve disorder causing a stabbing or electric shock like pain in parts of face. This can affect part of or all of face and surface of eye. Trigeminal neuralgia may be caused by multiple sclerosis and pressure on the trigeminal nerve from a swollen blood vessel or tumor.
In all probability, you are suffering from trigeminal neuralgia. For medical treatment of trigeminal neuralgia several types of drugs are tried either singly or in combination. These are anti-epilepsy drugs such as valproate, carbamazepine, lamotrigine, phenytoin, gabapentin, and pregabalin; muscle relaxants such as clonazepam and baclofen; tricyclic antidepressants such as carbamazepine, amitriptyline, and nortriptyline.
Hi, About a year ago, I suddenly developed shooting pains in the front of my face, above my upper front teeth. I went to the dentist, who x-rayed me, and said I had an abscess, above my left upper 1 tooth. He did root canal treatment, but could not find anything, the pain did not go away, and after several root canals, he referred me to a consultant for an apicectomy. When the operation was done, as he drilled through the bone, he said there was lots of pus to drain away.
Last week I started having very intense pain in one of my eyes and went to the eye dr. who thinks I have Trigeminal Neuralgia. For the last two days I noticed my eyelid drooping when my eye was hurting really bad. My question is, can a droopy eyelid be associated with Trigeminal Neuralgia or could this be something else? I plan on following up with my neurologist but does this sound like something I should be really worried about?
Without the medication I could not live with this pain, it does help but the pain never goes away, and I dread it when I know that I am going to have an attack, nobody seems to know exactly what is what is causing this, I have looked up Trigeminal Neuralgia and I have these symptoms along with other symptoms, can you please tell me if you think that I may have this or a combination of Trigeminal Neuralgia and Hemicrania Continua.
I live in the UK and would really appreciate your advice.
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