Trigeminal Neuralgia
Neurology Varghese•Gender: Male•Age: 55 years (Adult)• Chronicity: 9 months
Presenting Complaints & History
- Excruciating, electric shock-like pain in the right cheek and jaw
- Pain triggered by light touching, washing face, or chewing food
- Brief spikes of pain lasting seconds, recurring multiple times daily
- Social isolation and weight loss due to fear of eating or talking
Clinical Assessment
Presented with severe right-sided trigeminal neuralgia. Conventional anticonvulsants caused sluggishness and confusion, prompting search for alternative relief.
Diagnostic Investigations: Brain MRI normal, ruling out cerebellopontine angle tumors or visible arterial compression.
Homeopathic Therapeutics & Management
Prescribed nerve-soothing constitutional remedies to reduce hyperexcitability of the trigeminal sensory pathway.
Selected Constitutional Remedies: Spigelia Anthelmia and Magnesia Phosphorica
Lifestyle & Nutritional Support
Drinking lukewarm liquids, eating soft pureed food during flares, and avoiding cold wind on the face.
Clinical Outcome
Follow-up Period: 6 months- Electric shock-like facial pain spikes resolved completely
- Able to chew, speak, and wash face without triggering pain
- Successful tapering and stoppage of high-dose anticonvulsants
- Restored weight and social wellness on follow-up
✓Medically reviewed by Dr. Navaneeth K. Unni
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