not convinced?

[angdon]

Hi ive posted on here before , ive had mri back all clear thank god realy pleased!
however my dr has said i have palsy on my  left side , i dont feel alot but i can feel if someone touches it etc and its not numb? however my right feels like  its swelling and have loads of headaches feel it more on the right than left ! the hospital still suggest i see a neurologist but my gp does not and sending me for physio instead ?not giving me any pain relief etc or corticosteriods which im told helps with bells palsy

apparently i also have 6th cranial nerve damage this does does not show on MRI would it ?also could me be being stressed bring these symptoms on? i feel like im doing all this to myself
I will add im 24 weeks pregnant
angela

[angdon]

thankyou

[Dr Sharma]

Hi there. You need to be investigated for trigeminal neuralgia and temporal arteritis. Trigeminal neuralgia is a nerve disorder that causes a stabbing electric shock like pain in parts of face. Various possible causes are multiple sclerosis and pressure on the nerve from a swollen blood vessel. Pain may be triggered by touch, sounds, chewing and light touch on face. Certain blood tests, MRI brain and trigeminal reflex testing apart from a neurological examination are required. Medicines like anti seizure, muscle relaxants, tricyclic antidepressants. Temporal arteritis is inflammation and damage to blood vessels supplying head. Symptoms may include jaw pain during chewing, excessive sweating, loss of appetite, throbbing headache on one side of head or back of head and scalp sensitivity. Consult a neurologist with these concerns. For 6th cranial nerve palsy to maintain binocular vision, Fresnel prisms are used. These prisms are attached to the patient’s glasses or to plano glasses if there is no refractive error. Other management options include use of botulinum toxin, injected into same side medial rectus, which helps prevent the contracture of medial rectus. By removing the pull of the medial rectus, it may serve to reveal whether the palsy is partial or complete by allowing any residual movement capability of lateral rectus to operate. The recovery may take 9 to 12 months of wait and watch period after which management will be either conservative or surgical. Consult your ophthalmologist also for further advice. Hope this helps. Take care.