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 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.
Hi,
Sorry to read about your pains. There's something you may want to look into called 'trigeminal neuralgia'. It is a neuropathic disorder characterized by episodes of intense pain in the face. Originating in one or both of the trigeminal nerves, this pain may be felt in any or all of the following: the ear, eye, lips, nose, scalp, forehead, left index finger, teeth, or jaw on one side and alongside of the face.
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 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 .
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!
Trigeminal neuralgia (nerve pain) can be extremely painful- have you found any websites on that, also known as tic douloureux? Did the maxillofacial people believe you had no TMJ issues and if so, what did they base that assessment on?
Regarding your appointment in 7 weeks- I suggest you get on a cancellation waiting list if they have one in case they come up with an earlier opening.
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.
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?
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.
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.
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.
surgical techniques may be needed like cutting or destroying part of trigeminal nerve, surgery to remove a blood vessel or tumor that is putting pressure on the trigeminal nerve. Hope this helps. Take care.
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.
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?
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