Charles is a 69 year old who came to me because he was having severe, electrical shocks across the left side of the face. The pain lasted for a few seconds at a time and he had multiple episodes a day.
He had initial improvement with medication, but eventually the medication dosing had to be increased and eventually wasn’t effective.
His brain MRI was normal.
We took Charles to surgery for trigeminal neuralgia. I found an artery pulsating against the nerve next to the brainstem. I moved the artery away from the nerve. Since surgery he has not had any episodes of facial pain.