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Hi there. What is the cause of your Horner's?
Did you have a CT of your chest to work up the Horner's? Have you had an MRI of the brain to work up the neuralgia?
Any findings other than the mastoid issue?
You need a chest CT as part of the work up for your Horner's. A normal MRI of the brain is reassuring regarding your neurolgia. This means the prognosis for complete recovery is pretty good. In the meantime, you should ask your doctor about a trial of a nerve-stabilizing medication such as gabaepentiin or pregabalin. These are excellent medications for treating neuropathic pain.
That's a pretty good one as well. You could also ask about amitriptyline (Elavil) which is a secondary agent. It tends to be sedating as well so it can help with sleep in those who suffer pain at night.
You're welcome. Hope you are feeling better soon.