Presentation
In the present case, a branching tributary of the occipital artery at the crossing point forming a constricting loop above the course of the GON was found to be the cause of entrapment. [ncbi.nlm.nih.gov]
Immune System
- Axillary Pain
The third case initially presented with axillary pain and lateral shoulder pain 1 year out from radical mastectomy. [ncbi.nlm.nih.gov]
Musculoskeletal
- Wrist Pain
Cleland, Differential Diagnosis and Physical Therapy Management of a Patient With Radial Wrist Pain of 6 Months' Duration: A Case Report, Journal of Orthopaedic & Sports Physical Therapy, 40, 6, (361), (2010). [doi.org]
Ears
- Otalgia
[…] edema - Reye's syndrome - Syringomyelia - Syringobulbia - Spinal cord compression - Susac's syndrome - Krabbe disease - metachromatic leukodystrophy - adrenoleukodystrophy v t e الألم وnociception الرأس والرقبة صداع • الرقبة • Odynophagia (swallowing) • Otalgia [marefa.org]
Psychiatrical
Neurologic
- Motor Symptoms
Motor symptoms and signs are often present, but these deficits can be very subtle. [doi.org]
Workup
Diagnostic workup including magnetic resonance imaging of brain and computerized tomography of the sinuses are usually negative, but there have been few cases of a nasal contact point. [ncbi.nlm.nih.gov]
Key points • For several cranial neuralgias, the diagnostic workup should include structural imaging with MRI with and without contrast to evaluate for evidence of inflammation or space-taking lesions, vascular imaging consisting of either MRA or CTA [medlink.com]
See Workup for more detail. [emedicine.medscape.com]
Treatment
Diagnosis and treatment can be challenging. Based on a case report and literature review, disease aspects and treatment options including laparoscopic (triple) neurectomy are discussed. [ncbi.nlm.nih.gov]
[…] more comprehensive approach to treatment. [doi.org]
Prognosis
It was managed by several medication and landmark-based great auricular nerve block with poor prognosis. PATIENT CONCERNS: A 25-year-old man presented with a pain in the left lateral neck and auricle. [ncbi.nlm.nih.gov]
Prognosis Some individuals recover from an initial attack and never have another. Others will experience clusters of attacks followed by periods of short or long remission. [ninds.nih.gov]
Patients aged 60 years had the worst prognosis: 18% still had mild pain at 3 months and 6% had moderate or severe pain. At 1 year, 8% had mild pain and 2% had moderate pain. [mdedge.com]
Prognosis The condition tends to come and go. Attacks of pain may be experienced off and on all day, or for days or weeks at a time, or no pain may be experienced for a prolonged period of time. However in most cases, the prognosis is good. [brainfoundation.org.au]
Etiology
Direct injury to the nerve appears to be the etiology of post-traumatic external nasal neuralgia. [ncbi.nlm.nih.gov]
In about 85% of cases, no lesion is identified, even after extensive investigations, and the etiology is labeled idiopathic (classic) by default. [emedicine.com]
Epidemiology
Epidemiology References:[1][2] Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
In a retrospective epidemiological study [ 5 ], among all cases between 1945 and 1984, glossopharyngeal neuralgia had an incidence of 0.7 cases per 100,000 patients [ 5 ], while an epidemiological study conducted at the Mayo Clinic between 1922 and 1977 [karger.com]
A case report of trigeminal neuralgia in a patient with spontaneous intracranial hypotension has been reported; both conditions resolved following surgical treatment of a cervical root sleeve dural defect. [3] Epidemiology Frequency Trigeminal neuralgia [emedicine.com]
Smith and Nicola Torrance, Epidemiology of Neuropathic Pain and Its Impact on Quality of Life, Current Pain and Headache Reports, 16, 3, (191), (2012). [doi.org]
Summary Epidemiology The estimated prevalence in France is 1/6000. Clinical description The disease usually presents between the ages of 50-70 years, with an insidious onset of symptoms. [orpha.net]
Pathophysiology
We describe current approaches to the diagnosis and assessment of neuropathic pain and discuss the results of recent research on its pathophysiologic mechanisms. [ncbi.nlm.nih.gov]
Pathophysiological Basis of Surgical Treatment The pathophysiological basis of the surgical treatment relies on our knowledge about the pathophysiology of trigeminal neuralgia. [omicsonline.org]
Prevention
Data on surgical procedures, incidence, cause of PON, management, outcomes, and preventive technique were extracted. [ncbi.nlm.nih.gov]
Objectives: To examine the efficacy of corticosteroids in preventing postherpetic neuralgia. [cochrane.org]
Treating related disorders such as diabetes and renal insufficiency may prevent some neuralgias. [ehr.wrshealth.com]