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My wife has been having momentary severe pains on the left side of her face. The pain is intense, and lasts from a few seconds to a few minutes.
The pain extends from the scalp above the left eye, down the forehead above left eye, down around the inner corner of the left eye, along the left side of her nose to her left upper lip and inside the roof of the mouth. It's like an electrical shock. The more severe attacks, causes her left eye to tear and gets bloodshot instantly along with swelling around the lower eye lid.
The pain can be triggered when she pulls on her scalp above the left eye, but also when brushing teeth, eating something tart, and sometimes with no stimulus at all.
This has been going on for a several months, sometimes going a few weeks with no symptoms, but now several times a day.
Her ENT doesn't see any sinus infection, dental x-rays show no problems.
Her doctor thinks maybe trigeminal neuralgia, but a neurologist doesn't think so because of the tearing and bloodshot eye, but he also said it could be. she was prescribed Indomethacin, which caused severe side effects - dizzy, pounding/ringing in ears, nausea, itchy rash, so her doctor took her off of it. Then prescribed an anti-seizure med called Gabapentin which has not reduced the symptoms. The only thing that has helped is Tylenol, which reduces the pain, but she can tell that it is still there.
An MRI last week showed no abnormalities associated with Trigeminal Neuralgia.
She has Chronic dry eye, but her eye doctor doesn't think that would cause these
symptoms. She had nasal surgery about 2 years ago to correct a deviated septum.
2 dental implants on the lower left jaw were done 3 months ago.
The first available follow up with the Neurologist is mid October, and her episodes are getting worse and more frequent.
Any idea what the cause might be?
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