A 43-Year-Old Woman Visited Her Physician Complaining of Severe Intermittent

A 43-year-old woman visited her physician complaining of severe intermittent pain on the right side of her face. The pain was precipitated by exposing the right side of her face to a draft of cold air. The pain was stabbing in nature and lasted about 12 hours before finally disappearing. When asked to point out on her face the area where the pain was experienced, the patient mapped out the skin area over the right side of the lower jaw extending backward and upward over the side of the head to the vertex.
-The following signs and symptoms in this patient strongly suggest a diagnosis of trigeminal neuralgia except which?

A) The skin area where the patient experienced the pain was innervated by the mandibular division of the trigeminal nerve.
B) The stabbing nature of the pain is characteristic of the disease.
C) The trigger mechanism, stimulation of an area that received its sensory innervation from the trigeminal nerve, is characteristic of trigeminal neuralgia.
D) Examination of the actions of the masseter and the temporalis muscles showed evidence of weakness on the right side.
E) The patient experienced hyperesthesia in the distribution of the right auriculotemporal nerve.