Are tremors and blurred vision suggestive of trigeminal neuralgia?
I have had tremor episodes along with the stabbing pain on the left side of my face, NY vision is blurred constantly, a vibrational feeling on the left side. My MRI shows there is a cerebellar artery overriding the 7th cranial nerve. Left tympanic membranehas scarring and is mild thickening.
Possibility of trigeminal neuralgia, take medications as advised
I have gone through your question and understand your concerns.
Trigeminal neuralgia presents with severe episodic,lancinating electric pain over face which can occur multiple times in a day or may be continous in some cases.
There is usually no visible facial muscle twitching or movement.
In view of imaging, Trigeminal neuralgia is more likely a possibility if there is no facial muscle movement or eye ball movements. Moreover trigeminal neuralgia may be associated with trigger factors like cold, facial touch, air or washing face and eating. These factors could precipitate trigeminal neuralgia episodes.
Partial seizure may involve only face or limbs. And EEG can prove the diagnosis if it detects any abnormal activities. However it may not be positive in all cases.
If your doctors are unable to make a clear diagnosis, then I will suggest you be treated with carbamazepine in increasing dosage as it is effective in both seizure and trigeminal neuralgia.
Surgical procedures are available in non responsive cases.
Hope this answers your question. Do get back to me for further queries.
Dr N Kumar
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