I am a 28 year old female with a sudden change in headache type. I have had migraine headaches on the left side of my head since I was 14 years old. Generally, they were infrequent and manageable with Midrin (first) and later, Esgic Plus (used sparingly, since one prescription lasted 6 months+).
About 3 1/2 years ago, I began to feel a continuos twitching in my left eye, which seemed to disappear after two weeks. After which, I noticed ptosis of the left eyelid. Also, while a headache was occurring, I had constriction of the left pupil.
Shortly after this, I became pregnant and had virtually no headaches during this pregnancy, or while nursing. In December '98, just more than a year after my baby was born, my headaches seemed to become more frequent, but still manageable.
In Jan. '99, I awoke with a different type of headache, which has never gone away! I experience a daily pain, which centers around my left eye, but is a burning sensation (unlike my migrain pain). Sometimes there is a sharp/stabbing pain in the upper corner of my left eye that accompanies the burning feeling. The burning sensation seems to vary in severity and location (eye, cheek and back of head) from day to day. I feel the burning from the moment I open my eyes in the AM.
I have seen 2 Neurologists. The first insisted that this was still migraine pain, which had changed form. She gave me Amerge and Inderal, both of which had no affect. All tests(MRI, EEG, X-ray and Blood) were normal. The second Neurologist felt that I have Trigeminal Neuralgia and gave me Elavil. However, I have not tried this yet, since I may be pregnant. I have tried electrical stimulation on the back of my head/neck, which was very sensitive on the left side only. I also had a nerve block done yesterday, which had no positive effect.
I am unsure whether this is a Neuralgia, migraine, both or something else. I have family in Cleveland ( my brother-in-law practices anastesia at Loraine Community Hospital) and would gladly come to Cleveland, if you think you can help.
Sorry to hear about this facial pain. I was happy to hear that you had an MRI as we do worry about MS in young females. Your symptoms really do sound like trigeminal neuralgia. Actually the first line therapy is carbamazepine with alternative medications of phenytoin, clonazepam, baclofen, and pimazide. The tegratol does work the best but you should find out if your pregnant yet, simple blood test. Actually, we really stay away from the TCA in this type of pain, but I guess various physicians have their own way of treating. The literature says that the earlier treatment begins, the better the prognosis for favorable outcome. I would say to start early, first by getting a pregnancy test and if negative then pursue the first line therapy. There is no ear pain is there? We also like to rule out Ramsey Hunt (varicella infection). I hope your facial pain get under control.
CCF Neuro[P] MD
Change in Headaches - Neuralgia? Roslyn 4/13/1999
Re: Change in Headaches - Neuralgia? HI ROSLYN 4/15/1999
Change in Headaches - Neuralgia? Roslyn 4/23/1999
Change in Headaches - Neuralgia? Karen 4/03/1999
Re: Change in Headaches - Neuralgia? Mark 4/06/1999
Change in Headaches - Neuralgia? Thanks Mark from Karen 4/06/1999
Copyright 1994-2017MedHelp International.All rights reserved. MedHelp is a division of Aptus Health.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.