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AKT3-063

Jenny is a 51 year old fitness instructor and presents with episodic pains in her face that are described as shooting and tingling which last a few seconds. It is provoked when eating and when in cold air. A diagnosis of Trigeminal Neuralgia is suspected.

Which one of the following co-existing factors would be an appropriate reason for referral to see if there is an serious underlying cause?

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