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Doctor insights on: Bells Palsy Vs Trigeminal Neuralgia

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Is there any correlation between bells palsy twice (once on each side) and trigeminal neuralgia?

Is there any correlation between bells palsy twice (once on each side) and trigeminal neuralgia?

Yes and no: True Bell's palsy and true trigeminal neuralgia are unrelated. You likely have 'something' going on causing recurring facial paralysis and trigeminal compression. Lymes disease a possibility. Also need a high quality MRI of head and skull base. Start with a neurologist or ENT and go from there. ...Read more

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Palsy (Definition)

...is a corruption of French "paralise" from Latinized Greek "paralysis." In the old days it meant any kind of persistent weakness. To this day Parkinson's disease is also called "paralysis agitans" which is a Latin translation of Dr. Parkinson's original name for it, the "shaking palsy." We've obviously reborrowed the full form "paralysis" into English as well; today ...Read more


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Hx of bell's palsy and trigeminal neuralgia. Mult episodes of facial weakness w/ right sided weakness. Neg for ms. Hyper reflexes right side. Help?

Hx of bell's palsy and trigeminal neuralgia.  Mult episodes of facial weakness w/ right sided weakness. Neg for ms. Hyper reflexes right side. Help?

Some thoughts: What kind of help do you need? It is good if you do not have MS. Stroke and MS are the most likely to cause symptoms of weakness of the right face, arm and leg. Proper evaluation for these conditions and their risk factors should be done by a physician in a clinic or a hospital. A rare cause of these could also be hemiplegic migraine. Do you get headaches with these? ...Read more

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If carbamazepine isn't working to treat my trigeminal neuralgia, what is a good drug to try next?

Trileptal: is reported to be effective for trigeminal neuralgia. Some clinicians now prefer to use oxcarbazepine (Trileptal) as their first line drug for trigeminal neuralgia because of its reduced side effect profile. Unfortunately, about half of TN sufferers eventually become dissatisfied with medical therapy, explore surgical options. ...Read more

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I'm on carbamazepine for about a week or so and I don't like it. I'm taking it for Trigeminal Neuralgia, can I stop taking it since I haven't been on ?

I'm on carbamazepine for about a week or so and I don't like it. I'm taking it for Trigeminal Neuralgia, can I stop taking it since I haven't been on ?

Careful: Hi, Thank you for your question. You haven't been on it too long to build a physical dependence but you should still discuss with your PCP this decision. They can start you on another medication at the same time. Hope that helps..contact me if you have any other questions :-) Dr. M ...Read more

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How is trigeminal neuralgia diagnosed?

Clinical exam: Trigeminal neuralgia is a condition where sharp, electrical pain affects the face along one or more of the three branches of the trigeminal nerve. There is typical and atypical types of trigeminal neuralgia. Your neurosurgeon or neurologist should be able to examine you and make a diagnosis. Brain MRI scans are usually done to make sure there are no tumors or ms. ...Read more

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How can trigeminal neuralgia be treated?

Yes: Generally trials of antiseizure medications can be beneficial. Some individuals fail such therapy and may otherwise benefit from neurosurgical procedures including gamma knife therapy. ...Read more

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What are symptoms of trigeminal neuralgia?

Sudden, sore, sided: Trigeminal Neuralgia is characterised by sharp, electric type pains, or spasms usually on one side of face lasting seconds to minutes, recurring repeatedly for some days or weeks then settling for some months. Thought to be caused by compression of the trigeminal nerve by a blood vessel it is most common in >50s. Diagnosis with Dr, for other causes see patient.info/doctor/trigeminal-neuralgia-pro ...Read more

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What are symptoms of trigeminal neuralgia (tn)?

TN symptoms are : The attacks usually occur in brief paroxysms of electric shock-like, sharp (lancinating), stabbing, burning pain lasting a few seconds to one or two minutes which are separated by pain-free intervals of varying lengths.The pain is excruciating in intensity. Typically, a pain attack is accompanied by tic-like cramps or involuntary spasms of the facial muscles ("tic douloureux"). ...Read more

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Are there complications of trigeminal neuralgia?

No: Simple answer is no, though rarely it can get bad enough to consider neuro surgery (eg janetta procedure) which does have a risk of complications. ...Read more

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What is the best procudure for trigeminal neuralgia ?

What is the best procudure  for trigeminal neuralgia ?

Depends: It would depend upon general health. If the person is relatively young and healthy, then mvd has the best results (only procedure that preserves the nerve). Older and people with significant health risks may consider balloon compression, or some of the other destructive procedures. Some find the gamma knife attractive, though success rate is 60%, and doesn't usually begin working for 6 weeks. ...Read more

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Is migraineous neuralgia a component of trigeminal neuralgia?

Is migraineous neuralgia a component of trigeminal neuralgia?

Migraineous: Neuralgia is not related to trigeminal neuralgia, but can be and often is mediated by the trigeminal nerve or brain stem nuclei. ...Read more

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What is the cure for trigeminal neuralgia?

What is the cure for trigeminal neuralgia?

Depends which Dr.: Many drs rely only on pain meds to control trigeminal neuralgia.Some use surgery to cushion a nerve.More recently (though little known) neuroprolotherapy has been found to help.It consists of injections of 5% glucose near the affected nerve(s) which calms it.I have yet to see if effect is permanent, but my pts like it.Also osteopathic cranial manipulation helps some.So, depends on Dr's training. ...Read more

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What is the cure for trigeminal neuralgia?

Cure for TN: There is no cure for TN. Current state of the art dictates that all patients should be treated initially with medication. But if a patient becomes refractory to medical management or develops serious side effects to medication, surgical intervention should be considered. ...Read more

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Is it possble that a toothache cause trigeminal neuralgia?

The opposite is true: "There is one disease of the Jaws which seems in reality to have no connection with the Teeth, but of which the Teeth are generally suspected to be the cause. As simple pain demonstrates nothing, a Tooth is often suspected, is perhaps drawn out; but still the pain continues, with this difference however, that it now seems to be in the root of the next Tooth". John Hunter (1778). It is true today. ...Read more

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In trigeminal neuralgia's pain does painsheild tm by navovibronix works?

In trigeminal neuralgia's pain does painsheild tm by navovibronix works?

Probably not: Tn is a neurological disorder and treatment that treats the nerve is the most common treatment that is effective. That usually requires a prescription and sometimes surgery. ...Read more

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A few years ago i was diagnosed with trigeminal neuralgia. I don't have it anymore. What are the chances of my tn coming back?

A few years ago i was diagnosed with trigeminal neuralgia. I don't have it anymore. What are the chances of my tn coming back?

Unpredictable: Some people have an episode of trigeminal neuralgia and never have another. The longer the time between an initial episode and any subsequent one diminishes the likelihood that it will recur. Unfortunately, it is not all that predictable. ...Read more

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Why don't nurses know about trigeminal neuralgia.I had a septoplasty to see if it would relieve it.Not one nurse knew what it was, ?

Information: Trigeminal neuralgia is not all that common. It is entirely possible the a nurse may not have heard about it. However, if the hurse has been associated with a neurologist, or neurosurgeon, then for sure she would know about it. ...Read more

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What painkillers are helpful for trigeminal neuralgia?

Anticonvulsant drug: Carbamazepine was found to be effective for trigeminal neuralgia and has been the most prescribed medication for management this disorder. A relatively new anticonvulsant, Neurontin, (gabapentin) is now considered a first line drug for trigeminal neuralgia along with carbamazepine. ...Read more

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Could dental work cause trigeminal neuralgia?

Not usually: Newer leading research indicates that it is an enlarged blood vessel - possibly the superior cerebellar artery - compressing or throbbing against the microvasculature of the trigeminal nerve near its connection with the pons. Such a compression can injure the nerve's protective myelin sheath and cause erratic and hyperactive functioning of the nerve. ...Read more

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Dr. Paul Grin
404 doctors shared insights

Trigeminal Neuralgia (Definition)

Trigeminal neuralgia (TN) is a condition that causes repeated (recurring) severe pains in parts of your face. It usually affects people aged over 50. Treatment with a medicine called carbamazepine usually works well to stop the pains. Surgery is an option if medication does not work, or if side-effects from the medicine ...Read more


Dr. John Hoffmann
253 doctors shared insights

Bells Palsy (Definition)

A disorder affecting the nerve that controls movement of muscles in the face. Symptoms usually occur on only one side of the face, and may include having difficulty closing an eye, difficulty keeping food and fluids in the mouth, and ...Read more