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Thread: Facial Paresthesias

  1. #1

    Facial Paresthesias

    As far as I know, all of my lesions are in the cord and I thought that symptoms of cord lesions always appear below the affected level - so what could cause paresthesias in the face and scalp on one side only? These are not exactly fasciculations (although they feel similar), because I can't actually see movement under the skin, but I have a persistent "wormy" sensation beneath and on the outside of my right eye that intermittently extends to the region between my right nostril and upper lip, and sometimes up to the scalp. I don't think the trigeminal nerve goes up the side of the face to the scalp.

    This came on suddenly last night and I don't know if I should be worried. MS has the oddest manifestations and sometimes they go away, but I've never had head-related issues before. Can cord lesions cause symptoms in the face and scalp? Thank you in advance for your insights.
    Last edited by Bonnette; 08-22-2010 at 03:37 PM.

  2. #2
    No, those are distributions of the facial nerve, not the cord. It is likely that you do now have lesions that are in other parts of the CNS other that just the cord. Lesions only in the cord in MS are quite unusual. Have you had a recent MRI?

    My mother (who has PPMS) also has brain lesions (we presume, since she has never had an MRI) and she has had several bad attacks of trigeminal neuralgia, some which last weeks and others only a few hours. She also has some cognitive problems and occasional swallowing problems.


  3. #3
    Thank you very much for your reply. My last brain MRI was in 2008, and at that time the neurologist said that she thought she saw an area of inflammation near one of the ventricles, but she wouldn't call it a lesion at that point. I do have some trouble swallowing at times, and have had episodes of facial pain which I interpreted as sinus problems. So it wouldn't surprise me if there is now brain involvement. A couple of months ago, I made an appointment with a specialist in Denver and now that seems fortuitous. Again, thank you very much for this information.

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