Hi Brad and all,
I didn't know where to respond to a question to the group so I"m making a discussion about it. Probably not the right thing, so hopefully someone will correct me.
I never heard the inbetween tn attack time referred to as remission...I had quite a long time between my first and second cluster of attacks and still didn't call it remission.
Like you Brad, my MRI was clear. My cause of TN is likely nerve damage from systemic lupus, which I was dx'd with in 2010. It also caused severe peripheral neuropathy so it's likely but not for sure. I have multiple cranial neuropathies. My TN is atypical, all 3 branches on the left, geniculate on the right, and others. I do get forehead pain on the left by itself sometimes so I hope it's ok that I joined the group.
Like you I get a bit of a warning..my forehead feels pinched on the left like in a vice. I get mainly stabbing aching in a vice that keeps getting worse pain, and not so much the zapping in my forehead although I do get that across my left side of my face during bad attacks.
My muscles pull terribly and twitch, even in the forehead a little. I can feel my upper cheek and eye pull a little right before the attack gets worse. It'll start earlier in the same day.
STRESS, oh yes, but I don't think it causes it. I think it makes it act up but it's not the cause. IMO This thing is way too physical to be caused by stress and I'm WAY too familiar and experienced with nerve pain and neuropathy to buy that argument.
Anyway, I'm sorry you have this nightmare. It's just awful.
HUGS, Julie