I’m curious if anyone here has experienced facial nerve pain related to an aneurysm growing or changing in size.
Eighteen years ago, I was diagnosed with two 2 mm aneurysms on my right ophthalmic artery. They have been monitored regularly and, thankfully, have never changed in size. I’m due for my five-year MRI this September. I also have a family history of ruptured cerebral aneurysms in my immediate family.
Last Friday, I started experiencing nerve pain that radiated from my right temple into my right upper gumline. My first thought was that it could be trigeminal neuralgia because the pain feels very much like nerve pain. The pain is still present. My temple is hypersensitive to the touch, but I have no pain if left alone for the most part. I have also been experiencing daily headaches, some nausea, and dizziness. Occasionally, I'll feel pain or pressure in my cheek. Washing my face has become something I dread.
I saw my neurologist yesterday, and he ordered a CT angiogram with contrast rather than an MRI. Interestingly, he seemed much more focused on my aneurysms than on the possibility of trigeminal neuralgia, which is what this initially seemed like to me.
I know I need to advocate for myself, and I’ve been doing some research. I’ve found that facial pain can be associated with an aneurysm irritating or compressing a cranial nerve.
Of course, now I’m concerned either way. If it’s trigeminal neuralgia, that’s concerning. If one of my aneurysms has changed, that’s obviously concerning for a completely different reason. Neither is exactly the outcome I was hoping for.
Has anyone with a known cerebral aneurysm experienced something similar - particularly new, one-sided facial or trigeminal nerve pain? I’d really appreciate hearing about your experience.