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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Stinging On Left Side Of Face In The Temple Area. Lasts For A Few Seconds. What Could This Be?

Greetings, For as long as I can remember, I (very occasionally) get episodes of intense stinging on the left side of my face, in the temple area. It s always the same small spot (right at the front of my left temple.) The stinging lasts for about 10 seconds, then goes away. The pain is extremely painful, enough for me to grab the sides of my face and fall to my knees. Do you have any idea what this could be? Thank you very very much. Daniel-Joseph Griffin p.s: I m a 18 y.o male, tall, thin bodied and no other known physical condition. Thanks again!
Mon, 11 Feb 2013
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General & Family Physician 's  Response
Hello Daniel...
The symptoms mentioned in your post can be attributed to a neurologic cause...most probably Trigeminal Neuralgia.
It is caused due to compression of the Trigeminal Nerve.
Management includes:
1. Anti convulsants such as carbamazepine, gabapentin, pregabalin.
2. Tricyclic antidepressants such as amitriptyline, nortriptyline.
3. Muscle relaxants such as baclofen.
But these medications should be taken under the guidance of a Doctor to avoid their unwanted side effects.
Some cases may need surgery to relieve pressure on the nerve.
Techniques include:
Radiofrequency ablation, microvascular decompression, etc.

So..it will be better to consult a Neurologist & get a proper physical examination done to find out the exact cause.
So that proper management steps could be taken.

Wishing you a Good Health. Let me know if I need to clarify further.
Thanks & take care.
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Stinging On Left Side Of Face In The Temple Area. Lasts For A Few Seconds. What Could This Be?

Hello Daniel... The symptoms mentioned in your post can be attributed to a neurologic cause...most probably Trigeminal Neuralgia. It is caused due to compression of the Trigeminal Nerve. Management includes: 1. Anti convulsants such as carbamazepine, gabapentin, pregabalin. 2. Tricyclic antidepressants such as amitriptyline, nortriptyline. 3. Muscle relaxants such as baclofen. But these medications should be taken under the guidance of a Doctor to avoid their unwanted side effects. Some cases may need surgery to relieve pressure on the nerve. Techniques include: Radiofrequency ablation, microvascular decompression, etc. So..it will be better to consult a Neurologist & get a proper physical examination done to find out the exact cause. So that proper management steps could be taken. Wishing you a Good Health. Let me know if I need to clarify further. Thanks & take care.