Unilateral Facial Pain: Causes & Reasons

Possible Causes for Unilateral Facial Pain

Trigeminal neuralgia is a rare cause of episodic unilateral facial pain and often in the initial presentation dental causes need to be eliminated, as it frequently presents [ncbi.nlm.nih.gov]

Trigeminal neuralgia is a syndrome of paroxysmal excruciating, lancinating unilateral facial pain. [ncbi.nlm.nih.gov]

Abstract Background: Trigeminal neuralgia is a syndrome of paroxysmal excruciating, lancinating unilateral facial pain. [doi.org]

Acute Sinusitis

Sinusitis in adults – Purulent unilateral or bilateral discharge, nasal obstruction and – Facial unilateral or bilateral pain that increases when bending over; painful pressure [medicalguidelines.msf.org]

Signs/Symptoms Facial Pain and tenderness The pain may be unilateral or bilateral and is felt over the cheek, although it can radiate to the forehead, teeth. [dundeemedstudentnotes.wordpress.com]

pain Hyposmia Symptoms of acute bacterial rhinosinusitis include the following: Facial pain or pressure (especially unilateral) Hyposmia/anosmia Nasal congestion Nasal drainage [emedicine.medscape.com]

Cluster Headache

Patients presenting with unilateral facial pain present a unique diagnostic challenge for dental practitioners. [oooojournal.net]

Headache and Facial Pain. 61 Prakash S...Dave A 27256162 2016 47 Alcohol-induced headaches: Evidence for a central mechanism? [malacards.org]

Although the pain is usually located about the eye or temple, it may be more intense in the neck or facial areas. [practicalpainmanagement.com]

Maxillary Sinusitis

unilateral facial pain and maxillary toothache (Axelsson 1972; Williams 1993), but none of the signs or symptoms is diagnostic when presenting alone. [cochranelibrary.com]

Pain from the maxilla may be referred to the face, eye, nose and oral cavity. Facial symptoms may include unilateral paresthesia, anaesthesia, and midface fullness. [oralhealthgroup.com]

purulent nasal discharge, nasal obstruction, unilateral facial pain, maxillary toothache, impaired sense of smell); or radiography, ultrasound or other imaging; or bacterial [cochranelibrary.com]

Sialadenitis

History and exam Key diagnostic factors fever pain and dysphagia facial swelling recurrent painful swellings exudates of pus from salivary gland opening use of xerostomic [bestpractice.bmj.com]

Facial swelling – usually unilaterally and affecting parotid region, under the tongue, or below the jaw. [en.wikipedia.org]

Chronic sclerosing sialadenitis (Kuttner's tumour) is typically unilateral and may mimic a tumour. [bestpractice.bmj.com]

Temporal Arteritis

Giant cell arteritis with arteritic anterior ischemic optic neuropathy has rarely been diagnosed in Taiwan. Recently, we encountered a 76-year-old Taiwanese patient who presented with right visual impairment and marked pale swelling of his right disc. He also suffered body weight loss, general malaise and many typical[…] [ncbi.nlm.nih.gov]

Periapical Abscess

Periapical abscess occurs as a result of bacterial infection of the tooth and the surrounding structures, most commonly on the grounds of dental caries and tooth decay. Focal inflammation and abscesses can produce intense pain, and the diagnosis can be achieved through physical examination. Treatment includes[…] [symptoma.com]

Paranasal Sinus Disease

Common presentations include unilateral nasal obstruction, purulent nasal discharge, nasal bleeding and facial swelling/painful fullness. [journals.plos.org]

Introduction Unilateral sinus disease (USD) is not a rare condition among paranasal sinus diseases encountered in daily practice. [journals.plos.org]

Dental Disorder

A dental abscess is a collection of pus that can form inside the teeth, in the gums, or in the bone that holds the teeth in place. It's caused by a bacterial infection. An abscess at the end of a tooth is called a periapical abscess. An abscess in the gum is called a periodontal abscess. Dental abscesses are often[…] [nhs.uk]

Facial Hemiatrophy

A dictionary of medical eponyms Related people Caleb Hillier Parry Moritz Heinrich Romberg A rare disorder characterized by progressive atrophy of some or all tissues on one side of the face, occasionally extending to other parts of the body. The process may be bilateral in 5% to 10% of cases. Tissues involved[…] [whonamedit.com]

Purulent Rhinitis

facial pain 8 ; the other studies did not report the incidence of unilateral facial pain. [bmj.com]

facial pain Associated middle ear changes Headache Fever Diagnosis in younger children is more difficult as the signs and symptoms are non specific. [rch.org.au]

facial pain. [medpagetoday.com]

Rhinolithiasis

They are known to cause unilateral nasal discharge, facial pain, headache, epistaxis, and nasal obstruction. [lebanesemedicaljournal.org]

Rhinolithiasis mostly manifests itself with unilateral purulent rhinorrhea, nasal obstruction and facial pain symptoms. [ncbi.nlm.nih.gov]

The most common manifestations of rhinolithiasis are unilateral nasal discharge, nasal obstruction, and facial pain. [ncbi.nlm.nih.gov]

Trigeminal Autonomic Cephalalgia

All cases mimicked trigeminal autonomic cephalalgias, a group of primary headache disorders characterized by unilateral facial pain and ipsilateral cranial autonomic symptoms [ncbi.nlm.nih.gov]

The missing criterion in two patients was an unknown response to indomethacin [ 30, 31 ], and the third reported bilateral instead of unilateral facial pain [ 27 ]. [link.springer.com]

Case 4: A 38-year-old man presented with intense facial pain in the left supraorbital and infraorbital areas, which radiated to the temporoparietal and maxillary regions. [ncbi.nlm.nih.gov]

Trigeminal Neuropathy

It is typically characterised by short term, unilateral facial pain following the sensory distribution of cranial nerve V, the Trigeminal Nerve. [physio-pedia.com]

Jujani, an 11th century Arab physician, mentions in his writings unilateral facial pain causing spasms and anxiety. [medlink.com]

According to the ICHD-3 beta, the patient ultimately suffered from the subform 13.1.2.3 painful posttraumatic trigeminal neuropathy, where unilateral facial or oral pain follows [link.springer.com]

Malignant Neoplasm of Jaw

The use of botulinum toxin for the treatment of chronic facial pain. J Pain. 2002;3(1):21-27. Haley DP, Schiffman EL, et al. [cancercarewny.com]

The relationship between clinical and MRI findings in patients with unilateral temporomandibular joint pain. J Am Dent Assoc. 2001;132(4):476-481. [cancercarewny.com]

Acute Maxillary Sinusitis

unilateral facial pain and maxillary toothache (Axelsson 1972; Williams 1993), but none of the signs or symptoms is diagnostic when presenting alone. [cochranelibrary.com]

Acute maxillary sinusitis was defined by: a history of URTI lasting seven to 30 days, with at least two clinical signs or symptoms (sinus pain at palpation, postnasal drip [cochranelibrary.com]

Sphenopalatine Neuralgia

A 38-year-old male presents with unilateral facial pain that has been present for several years. [experts.umich.edu]

Background: TN is a disabling condition manifesting as severe, often unilateral facial pain paroxysms precipitated by various non-noxious stimuli. [n.neurology.org]

pain and unilateral headaches. [springerplus.springeropen.com]

Choanal Polyp

According to progressive growth, both types of choanal polyp are presented with unilateral nasal obstruction, facial pain and rhinorrhea, due to nasal cavity occupation and [arquivosdeorl.org.br]

Bacterial Sinusitis

facial pain Associated middle ear changes Headache Fever Diagnosis in younger children is more difficult as the signs and symptoms are non specific. [rch.org.au]

facial pain, as well as purulent nasal discharge. [academic.oup.com]

facial pain for at least 3-4 days May be associated with Maxillary Toothache Persistent Fever over 101 to 102 F Upper respiratory symptoms for 5 to 6 days that resolved and [fpnotebook.com]

Malignant Neoplasm of the Nasopharynx

Symptoms develop late, including unilateral bloody nasal discharge, nasal obstruction, hearing loss, ear pain, facial swelling, and facial numbness. [merckmanuals.com]

Rhinosinusitis

Typical signs and symptoms of acute rhinosinusitis include purulent nasal discharge, postnasal drip, sinus pain at palpation, unilateral facial pain, and maxillary toothache [cochranelibrary.com]

Also, when considering specific types of pain such as unilateral facial pain (De Sutter 2002), pain on bending forward (De Sutter 2002; Stalman 1997), pain in upper teeth [cochranelibrary.com]

For other patient‐reported symptoms (previous common cold or two stages of illness, pain on bending, unilateral facial pain, pain in the teeth, and purulent nasal discharge [cochranelibrary.com]

Maxillary Sinus Adenoid Cystic Carcinoma

The most frequent clinical presentation was unilateral nasal obstruction, followed by facial pain. 2 patients presented with initial diagnosis, 2 due to recurrence and 1 due [scienceopen.com]

Neuralgia

Diagnostic criteria: Recurrent paroxysms of unilateral facial pain in the distribution(s) of one or more divisions of the trigeminal nerve, with no radiation beyond1, and [ichd-3.org]

Diagnostic criteria: Recurrent paroxysms of unilateral facial pain in the distribution(s) of one or more divisions of the trigeminal nerve, with no radiation beyond 1, and [ichd-3.org]

Etiology Clinical features Unilateral facial pain: paroxysmal, severe shooting or stabbing (like an electric shock), followed by a burning ache Lasts several seconds (in rare [amboss.com]

Ethmoid Sinus Adenoid Cystic Carcinoma

The most frequent clinical presentation was unilateral nasal obstruction, followed by facial pain. 2 patients presented with initial diagnosis, 2 due to recurrence and 1 due [scienceopen.com]

Ophthalmic Nerve Disorder

It is typically characterised by short term, unilateral facial pain following the sensory distribution of cranial nerve V, the Trigeminal Nerve. [physio-pedia.com]

Pearls and Pitfalls Trigeminal neuralgia is characterized by paroxysmal attacks of unilateral, sharp, stabbing facial pain, within one or more divisions of the trigeminal [neurosurgicalatlas.com]

The unilateral head, facial, or retro-orbital pain related to trigeminal dysfunction may be associated with evidence of involvement of other cranial nerves (e.g., cranial [neupsykey.com]

Gradenigo Syndrome

Inflammation in this region can damage these nerves, causing facial pain and horizontal diplopia secondary to unilateral esotropia. [eyewiki.aao.org]

Symptoms Patients may complain of earache, tenderness, fever, ear discharge, deep unilateral facial pain, headache, diplopia, dizziness, nausea, vomiting, and confusion [1 [eyewiki.aao.org]

Carotid Artery Dissection

First, the so-called classic Eagle syndrome where patients can present with unilateral sore throat, dysphagia, tinnitus, unilateral facial and neck pain and otalgia. [ncbi.nlm.nih.gov]

Unilateral facial or orbital pain is also common, and 25% of patients have isolated ipsilateral neck pain. [emedicine.medscape.com]

Recurrence of neck pain suggests extension or recurrence of the dissection. [emedicine.medscape.com]

Lateral Medullary Syndrome

The patient's symptoms of decreased unilateral facial sensitivity to pain and temperature and her vocal cord dysfunction reversed after posterior fossa decompression and intradural [scholars.northwestern.edu]

He described his own affliction as “vertigo, unilateral facial numbness, loss of pain and temperature appreciation in the opposite limbs, dysphagia and hoarseness, minor tongue [dysphagiacafe.com]

Lethal Ataxia with Deafness and Optic Atrophy

facial pain and headache in the distribution of the ophthalmic division of the Vth trigeminal nerve Unilateral oculosympathetic palsy (partial Horner syndrome) Preservation [link.springer.com]

Raeder’s Paratrigeminal Syndrome (alt: Raeder’s paratrigeminal oculosympathetic syndrome) Organs Involved Trigeminal nerve, oculosympathetic Diagnostic Characteristics Severe unilateral [link.springer.com]

[…] of facial sweating Lesion in middle cranial fossa, medial to trigeminal ganglion Causes Carotid artery dissection Carotid body tumor Parasellar mass Migraine headache Vasculitis [link.springer.com]

Zoster Sine Herpete

Description: Unilateral facial pain of less than 3 months’ duration in the distribution(s) of one or more branches of the trigeminal nerve, caused by and associated with other [ichd-3.org]

[…] external ear, unilateral facial palsy, and/or vestibulocochlear deficit. [unboundmedicine.com]

Diagnostic criteria: Unilateral facial pain in the distribution(s) of a trigeminal nerve branch or branches, lasting One or more of the following: herpetic eruption has occurred [ichd-3.org]