Trigeminal neuralgia

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koneall
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Trigeminal neuralgia

Post by koneall » Fri Sep 22, 2017 10:23 am

Is numbness a sign of MS? I read that pain in that area is a sign but for me it's numbness as if I've just been to the dentist. The numbness affects the lateral side of the mouth and upper teeth, places innervated by the trigeminal nerve.

kaypeeoh

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jimmylegs
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Re: Trigeminal neuralgia

Post by jimmylegs » Fri Sep 22, 2017 12:12 pm

hi :)

it's not a make or break diagnostic feature. depends what else is going on. there's a very long (~80) list of things to go through before arriving at an ms dx.

nothing to do with ms, but interesting:
The Study of Calcium, Phosphonium, Magnesium, and Ferrum Concentration in Serum of Patients With Primary Trigeminal Neuralgia
http://journals.lww.com/jcraniofacialsu ... nd.96.aspx
"In primary TN patients, the concentration of Ca, P, Mg in serum is lower than the control group obviously (P <0.05), but the concentration of Fe in serum is higher than the control group obviously (P <0.05)."

i have some problems with this article (eg am not used to seeing the word 'obviously' used where i would expect 'significantly', and never mind the rest of the sentence structure). i don't have full text access so can't take a closer look, but there are some take-away messages that could be useful follow up items anyway.

specifically, do you have bloodwork results for serum calcium, phosphorus, magnesium and ferritin?
(please don't say 'all normal' - am asking about actual numeric results, with units, whether low- mid- or high-normal)
take control of your own health
pursue optimal self care at least as actively as a diagnosis
ask for referrals to preventive health care specialists eg dietitians
don't let suboptimal self care muddy any underlying diagnostic picture!

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NHE
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Re: Trigeminal neuralgia

Post by NHE » Sat Sep 23, 2017 12:09 am

jimmylegs wrote:i have some problems with this article (eg am not used to seeing the word 'obviously' used where i would expect 'significantly', and never mind the rest of the sentence structure). i don't have full text access so can't take a closer look, but there are some take-away messages that could be useful follow up items anyway.
Consider it lost in translation. The authors are Chinese.
  • "Department of Neurosurgery, Xinhua Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China."

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jimmylegs
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Re: Trigeminal neuralgia

Post by jimmylegs » Sat Sep 23, 2017 5:05 am

哦,我知道。我已经标明了CFL ELL学生的工作。他们的英文写作比我的中文写作更好,除了使用谷歌翻译的人。我可以做同样的事情!
take control of your own health
pursue optimal self care at least as actively as a diagnosis
ask for referrals to preventive health care specialists eg dietitians
don't let suboptimal self care muddy any underlying diagnostic picture!

THX1138
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Re: Trigeminal neuralgia

Post by THX1138 » Sun Feb 18, 2018 9:39 pm

Effect of coenzyme Q10 on mitochondrial respiratory proteins in trigeminal neuralgia. https://www.ncbi.nlm.nih.gov/pubmed/29424256

consumerlab.com wrote that 100mg coenzyme Q10 taken 3 times a day for 2 months along with standard medication significantly reduced the pain of trigeminal neuralgia. They cited the above stud

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