Your symptoms do not exactly match the clinical picture of trigeminal neuralgia but you should continue with the treatment and do notgo in for complicated details.The treatment consists of medicines, surgery, and complementary approaches.
For more information refer http://www.ninds.nih.gov/disorders/trigeminal_neuralgia/detail_trigeminal_neuralgia.
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.
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.
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.
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.
Trigeminal neuralgia may be caused by multiple sclerosis and pressure on the trigeminal nerve from a swollen blood vessel or tumor. one may have very painful, sharp electric like spasms that lasts for few seconds to minutes, pain on one side of the face, often around the eye, cheek and lower part of face, triggered by everyday activities like chewing, eating, light touching face etc. tests done are blood tests, MRI head and trigeminal reflex testing.
The possibility of trigeminal neuralgia being caused by multiple sclerosis increases when it occurs in young adults. Great link to read...
Multiple Sclerosis Community Lies My Neuro Told Me or (Common MS Myths): http://www.medhelp.
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 .
Treatment includes injecting local anesthetics and other medicines, moist heat muscle relaxants and NSAIDs along with physiotherapy. Multiple sclerosis would also need to be excluded. Treatment for migraines include drugs that prevent the attack like anti convulsants and drugs which treat an attack like triptans, ergots etc your queries should pertain to all these possible differential diagnoses. Trigeminal neuralgia needs to be considered.
Has your mother seen a Neurologist for evaluation? I had Trigeminal Neuralgia after shingles on my face, and the pain is worse than anything I've ever felt before. She definately needs to be checked out.
Treatment includes injecting local anesthetics and other medicines, moist heat muscle relaxants and NSAIDs along with physiotherapy. Multiple sclerosis would also need to be excluded. Treatment for migraines include drugs that prevent the attack like anti convulsants and drugs which treat an attack like triptans, ergots etc your queries should pertain to all these possible differential diagnoses. Trigeminal neuralgia needs to be considered.
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.
Treatment includes injecting local anesthetics and other medicines, moist heat muscle relaxants and NSAIDs along with physiotherapy. Multiple sclerosis would also need to be excluded. Treatment for migraines include drugs that prevent the attack like anti convulsants and drugs which treat an attack like triptans, ergots etc your queries should pertain to all these possible differential diagnoses. Trigeminal neuralgia needs to be considered. Hope this helps. Take care.
Treatment includes injecting local anesthetics and other medicines, moist heat muscle relaxants and NSAIDs along with physiotherapy. Multiple sclerosis would also need to be excluded. Treatment for migraines include drugs that prevent the attack like anti convulsants and drugs which treat an attack like triptans, ergots etc your queries should pertain to all these possible differential diagnoses. Trigeminal neuralgia needs to be considered.
Treatment includes injecting local anesthetics and other medicines, moist heat muscle relaxants and NSAIDs along with physiotherapy. Multiple sclerosis would also need to be excluded. Treatment for migraines include drugs that prevent the attack like anti convulsants and drugs which treat an attack like triptans, ergots etc your queries should pertain to all these possible differential diagnoses. Trigeminal neuralgia needs to be considered.
Treatment includes injecting local anesthetics and other medicines, moist heat muscle relaxants and NSAIDs along with physiotherapy. Multiple sclerosis would also need to be excluded. Treatment for migraines include drugs that prevent the attack like anti convulsants and drugs which treat an attack like triptans, ergots etc your queries should pertain to all these possible differential diagnoses. Trigeminal neuralgia needs to be considered.
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.
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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