Q. A 72-year-old female presents with brief, intermittent excruciating episodes of lancinating pain in the lips, gums, and cheek.

asked 2016-05-11 05:45:44 -0500

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These intense spasms of pain may be initiated by touching the lips or moving the tongue. The results of a physical examination are normal. Sensory examination does not reveal any loss of sensation over any part of body. MRI of the head is also normal. The most likely cause of this patient’s pain is

A.acoustic neuroma

B. meningioma

C.temporal lobe epilepsy

D.trigeminal neuralgia

E. facial nerve palsy

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