- CASE FILE
Two years of increasing facial numbness, pressure, burning. Tinnitus. Progressively increases through the day, the worst in the evening.
ABOUT THIS CASE FILE
42 year old female with two years of facial numbness, burning and pressure - NO PAIN OR PARALYSIS. Symptoms are weakest in morning, and increase through the day, and are unbearable by evening. Some tingling in arms and legs, particularly when lying down. Tinnitus in both ears (onset was shortly after facial numbness), and constant feeling of clogged ears. Symptoms seem to intensify with any stimulation to nervous system - heat, loud noise, exercise, stress. Migraine, stroke, bells palsy, tumor, MS, lyme, lupus, trigeminal neuralgia, HIV, diabetes, etc. all ruled out. 2 brain MRI's normal. Head/neck CT Scan normal. EMG nerve conduction normal. On second neurologist who has given me the working diagnosis of idiopathic Small Nerve Fiber Neuropathy. My Physiatrist disagrees and believes it must be an entrapped nerve. Have been given pain and nerve inhibitors with no impact on symptoms at all. Acupuncture has not relieved symptoms. Physical therapy, trigger point work and massage have no impact. Doctors are all stumped and unwilling to do further diagnostics or testing to understand root cause. I have refused further treatment of symptoms with pain medications. Past history includes - jaw trauma 15 years ago - recurrent/chronic UTI's 10 years - mono/active epstein barr 8 years ago - repeated eye ulcers and dry eye 2 years ago - sinus inflammation 2 years ago. I have pursued an anti-inflammatory diet (no gluten, dairy, eggs, sugar) with some relief of symptoms (mostly in muscles around eye - they don't fatigue as much and my vision isn't disrupted as it was in the beginning). Because I don't have pain, my symptoms are dismissed and attributed to stress; however, the intensity of my symptoms imitates that of pain.