Clinical Case of Type I Trigeminal Neuritis
J. W. is a 29-year-old white male with sudden onset of pain in his right jaw over a year ago. The pain is severe, electric-like, and intermittent. It can be triggered by eating or talking. When the pain is intense, he cannot stay still and cries in agony. The pain has been so severe that he lost his job and had to quit college. He had tried on anticonvulsants, tricyclic antidepressants, and pain medications, which helped slightly but did not control his pain. A brain MRI at an outside facility was said to be normal. He was referred by his neurologist to Dr. Suen for other suggestions.
KeywordsMRI Vascular compression Trigeminal nerve Type I trigeminal neuritis Microvascular decompression Upper cervical plexus