I have a recent dx of Trigeminal Neuralgia from Primary Care and have been referred to Neurology for further evaluation. The pain distribution is unilateral and follows the sensory distribution of cranial nerve V at the maxillary area. History of previous trauma (neuroplasia) dates to 1997, though asymptomatic to current presentation. There is no prior history of TMJ, aneurysms, tumors or other common precipitants. I am 61 years old, consistent with typical onset.
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.
In 2004 was diagnosised wit TN after many meds that year and losing 40 lbs since I could not eat had a MVD on the left side at the University of Chicago which help alot but pain did not go away altogether and I am still on meds in Oct of this year was diagnosised with Medullary Thyroid cancer at the Mayo clinic and had surgery right away but they did a genetic test since this type of thyroid cancer is heraditery and hard to treat.
Hi, 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.
Traumatic trigeminal neuropathy is generally not associated with trigeminal neuralgia. However, both entities may be responsive to pharmacologic intervention. Seeing a neurologist or orofacial pain specialist misadvised.
Did you ever get a reply? Sounds like Trigeminal Neuralgia Type 1 or Atypical. There is help for this! Same needs used for seizures help condition and pain attacks. Tegretol is one but many more. Thank you
Neurologist treats TN. Studies happening now.
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 imagine tattooing eyebrows could cause trigeminal neuralgia but I imagine it could set of peripheral neuralgias. Any surgery or invasive procedure can nick a nerve.
The trigeminal nerve lies across your face, and you would generally have pain in other areas than your nose. The pain also doesn't present as you described here. Does your nose hurt when you sleep?
Hint. When you see the neuro, don't use the term trigeminal neuralgia.
Kelly, while this could be a flare in dental problems it could also be a brief episode of trigeminal neuralgia. From what I know you would rather have a root canal than TN, which is so painful that it has been nicknamed "the suicide pain."
I'm glad you're feeling better- I hope it continues.
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.
The nerve that goes under the tongue is called the lingual frenulum nerve and could be it has neuralgia, but it is also part of a BRANCH of nerves that serve the ear, eye, nose, scalp, and mouth, and if that collection is bothering you, which since your eye and nose are involved, that would be called trigeminal neuralgia, I've put a website below. Other more remote possibilities are diabetic neuropathy, anemia, and referred pain from the heart.
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.
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.
Hi,
The common causes of shooting pains on right side of head are trigeminal neuralgia, temporal arteritis, tension headaches etc.In trigeminal neuralgia there are successive bouts of face pain. This pain occurs when a blood vessel compresses the trigeminal nerve as it leaves the brain stem. Temporal arteritis is caused due to inflammation of medium and large sized arteries bringing blood to the head.
The best way to put to rest the issue of whether trigeminal neuralgia, or any of a number of sites of nerve compression, is playing a role in your facial pain is to consult with a good neurologist. Many neurologists work with pain clinics and the neurologist may be able to suggest other approaches to chronic pain, even when the cause is not readily apparent.
Good luck.
Hello unnerved,
Trigeminal nerve which is responsible for sensations of the face. The cause trigeminal neuralgia is probably a blood vessel pressing on the trigeminal nerve. Tumors and multiple sclerosis can also cause it, but in some cases the cause is unknown. The pain is sudden, severe, electric shock-like, stabbing that is typically felt on one side of the jaw or cheek.
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.
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.
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, , but hardly varies with age. Drug of choice for trigeminal neuralgia is carbamazepine but as the dose may vary according to severity therefore I would advise an oral medicine specialist consultation or at least a physician to confirm this diagnosis and get you treated accordingly. Take care.
she is 29 and has been diagnosed with trigeminal neuralgia. could her tn be from the meningitis? maybe a sid effect?? she is on very strong medication and can not have the dosage increased anymore. she suffers alot with extreme pain. thank you, i need to find out as much as i can about this disease.
One of the causes of Trigeminal Neuralgia could be tumors. The Trigeminal nerve and its branches touches many parts of the face including the sinuses. (Google Gray's Anatomy (bartleby.com) for good diagrams of where the Trigeminal Nerve is).
I personally have not heard that TN loosens teeth -- although pain in the teeth and gums (because of all the areas the nerve touches) is common.
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