Severe Trigeminal Neuralgia can occasionally be caused by tumors in the cerebello-pontine region, notably, Epidermoid tumors, Schwannomas and rarely others like meningioma etc.
This is the story of a patient named Mr. Gopal Shinde, a young man from rural Maharashtra who suffered from very severe pain in the cheek and forehead. His TN pain was so severe that he could neither eat nor talk, nor open his mouth.
An MRI advised by us revealed a cerebello-pontine (C-P) angle tumor which was likely to be an epidermoid. Unfortunately, a nation-wide lockdown was imposed a few days after his diagnosis, and he had to return to his village.
Eventually, in spite of the Covid-19 situation, he came back to us for excision of the epidermoid, because the pain was unbearable. This was successfully removed in October 2020. His severe Trigeminal neuralgia pain disappeared immediately after surgery and he could begin eating, talking and smiling normally.
Dr. Jaydev Panchwagh operated on him and he was cured of his TN pain, with the excision of the Epidermoid tumor and with the freeing of the Trigeminal nerve.