QUESTIONS & ANSWERS:
Number Answer Question
1 Yes Do you have facial pain?
2 No Do you remember exactly where you were the moment your facial pain started?
3 Yes When you have pain, is it predominantly in your face (i.e., forehead, eye, cheek, nose, upper/lower jaw, teeth, lips, etc)?
4 Yes Do you have pain just on one side of your face?
5 Yes When you have pain, is it predominantly deep in your ear?
6 No When you have pain, is it predominantly in the back of your throat or tongue, near the area of your tonsil?
7 No Is your pain either entirely or mostly brief (seconds to minutes) and unpredictable sensations (electrical, shocking, stabbing, shooting)?
8 No Do you have any constant background facial pain (e.g., aching, burning, throbbing, stinging)?
9 No Do you have constant background facial pain (aching, burning, throbbing, stinging) for more than half of your waking hours?
10 No Do you have any constant facial numbness?
11 No Can your pain start by something touching your face (for example, by eating, washing your face, shaving, brushing teeth, wind)?
12 Yes Since your pain began have you ever experienced periods of weeks, months, or years, when you were pain-free? (This would not include periods after any pain-relieving surgery or while you were on medications for your pain.)
13 No Have you ever taken Tegretol ® (carbamazepine), Neurontin ® (gabapentin), Lioresal ® (baclofen), Treleptal ® (oxcarbazepine), Topamax ® (topiramate), Zonegran ® (zonisamide), or any other anticonvulsant medication for your pain?
14 No Did you ever experience any major reduction in facial pain (partial or complete) from taking any of the medications listed in Question 13, or any anticonvulsant medication?
15 No Have you ever had trigeminal nerve surgery for your pain? (e.g., neurectomy, RF rhizotomy/gangliolysis, glycerol injection, balloon compression, rhizotomy, MVD, gamma knife)
16 No Have you ever experienced any major reduction in facial pain (partial or complete) from trigeminal nerve surgery for your pain? (e.g., neurectomy, RF rhizotomy/gangliolysis, glycerol injection, balloon compression, rhizotomy, MVD, gamma knife)
17 No Did your current pain start only after trigeminal nerve surgery (neurectomy, RF rhizotomy/gangliolysis, glycerol injection, balloon compression, rhizotomy, MVD, gamma knife)? (If this is a recurrence of your original pain after a successful trigeminal nerve surgery, answer “no”)
18 No Did your pain start after facial zoster or"shingles" rash (Herpes zoster - not to be confused with “fever blisters” around the mouth)?
19 No Do you have multiple sclerosis?
20 No Did your pain start after a facial injury?
21 No Did your pain start only after facial surgery (oral surgery, ENT surgery, plastic surgery)?
22 Yes When you place your index finger right in front of your ears on both sides at once and feel your jaw open and close does the area under your fingers on either side hurt?
DIAGNOSIS:
Based on your yes/no answers to the Facial Pain Questionaire developed by Kim J. Burchiel, M.D., your predicted facial pain diagnosis has been assessed as trigeminal neuralgia Type 2 (TN2)
Here is the link for those who are interested: https://neurosurgery.ohsu.edu/tgn.php