Brief Answer:
Possibly neuralgia/atypical facial pain
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your symptoms and also the fact that CT with contrast was negative. Also, any eye or ENT problem has been excluded.
In this scenario, the most likely cause of your symptoms could be a neuralgia- pain arising from a nerve. In this case, the most common nerve to be affected is
trigeminal nerve, which arises in the brain stem and comes to supply sensations over face.
The underlying causes could be
ischemia (lack of blood supply),
demyelination (damage to covering of nerve), infection, compression of the nerve by a blood vessel, etc. This can be confirmed by doing an MRI of brain, along with angiogram.
As of now, you could take
carbamazepine tablets or
pregabalin capsules for pain relief.
I hope my reply has helped you.
I would be pleased to answer, if you have any follow up queries or if you require any further information.
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/