Presentation
[…] with unilateral facial pain that has been present for several years. [experts.umich.edu]
The authors present a patient with a 15-year history of sphenopalatine neuralgia who underwent stereotactic radiosurgery targeted at the sphenopalatine ganglion, with initial pain relief, and repeated radiosurgery 17 months later for partial pain recurrence [ncbi.nlm.nih.gov]
They present a variety of conceptions in a comprehensive manner. [books.google.com]
This evidence of "carotidynia", has not been found present in true trigemitial neuralgia. It is only slightly present in the cases of true "Sluder syndrome" (lower half headache of true sphenopalatine origin). [baillement.com]
Abstract Patients who experience chronic recurring head and face pain present a diagnostic and therapeutic challenge. Treatment options for Sluder's neuralgia, an uncommon cause for recurring head and face pain, are controversial. [journals.sagepub.com]
Entire Body System
- Pain
[…] of Iritis, the pain of keratitis, the pain of interstitial keratitis associated with syphilis, the pain of conjunctivitis, the pain of optic neuritis from methyl alcohol poisening, the pain of traumatic ulcer to the cornea, blepharospasm, functional [sphenopalatineganglionblocks.com]
Sphenopalatine neuralgia is a rare craniofacial pain syndrome that is characterized by unilateral pain in the orbit, mouth, nose, and posterior mastoid process. [ncbi.nlm.nih.gov]
Head and neck cancer pain and low back pain, visceral pain as well as angina, sciatica, and arthritis have been treated [7,15,17,42-44]. [crimsonpublishers.com]
Overall, the sphenopalatine ganglion block is a brief and minimally invasive procedure that proves to be successful in treating facial and head pain. Premier Pain & Spine offers the SPG block as a top Chicago pain center. [ppschicago.com]
- Inflammation
It is caused by inflammation of or injury to a nerve or group of nerves. Inflammation of a nerve, or neuritis, may affect different parts of the body, depending upon the location of the nerve. [medical-dictionary.thefreedictionary.com]
I stated that inflammation in the surrounding nasal structures (accessory sinuses, sometimes the nasal membrane) produced by its extension to or the transmission of its toxins to the ganglion, a symptom-complex, partly neuralgic (painful); and partly [jamanetwork.com]
Moy Medicine Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.] 1996 The results show that Bakers phenol peel caused the most inflammation and nonspecific reaction, and in addition, a proportionate amount [semanticscholar.org]
- Severe Pain
The pain is unilateral, always on the same side, intermittent and severe; it is described as a sharp, shooting pain located below the right orbit and deep behind the nose. [experts.umich.edu]
The pain fluctuates in intensity and severity. Trigger points on the face cannot be found, the pain is often worse at night, and may be aggravated by activity. [wrha.mb.ca]
Trigeminal Neuralgia is the neuralgic pain along distribution of Trigeminal Nerve. Trigeminal Neuralgia has been described as one of the most severe pain syndromes. [paincareclinic.in]
Return to top Atypical Facial Pain Atypical facial pain (or idiopathic facial pain) is characterized by deep, achy, constant, pulling or crushing pain that involves diffuse areas of the face and head. The pain fluctuates in intensity and severity. [umanitoba.ca]
- Episodic Pain
with pain-free intervals between attacks and type 2, describing idiopathic trigeminal facial pain that is aching, throbbing, or burning pain for more than % 50 of the time and is constant in nature with a minor component of sharp, episodic pain. [springerplus.springeropen.com]
Neuralgia is often episodic and may be triggered by a minor stimulus such as a light touch to the area supplied by the nerve. See also TRIGEMINAL NEURALGIA and POSTHERPETIC PAIN. neuralgia pain in the distribution of a sensory nerve. [medical-dictionary.thefreedictionary.com]
Even light touch of these trigger zones can provoke paroxysms of pain. Between episodes of pain, there are refractory periods when previous triggers no longer produce pain. [dovepress.com]
- Rigor
According to the precise positioning of the anatomical structure and the pathogenesis, Sluder’s proposed “sphenopalatine neuralgia” is more rigorous and scientific. [walshmedicalmedia.com]
These investigators stated that claims that surgical decompression of multiple pericranial nerves is effective in migraine are not substantiated by large, rigorous, randomized and sham-controlled trials. [aetna.com]
Respiratoric
- Rhinitis
Rivista Oto-Neuro-Oftalmologica 41(5): 313-348, 1966 Treatment of vasomotor rhinitis trifacial neuralgia and sluder's syndrome by helium neon laser irradiation of the sphenopalatine ganglion. [eurekamag.com]
Trials 2018 BACKGROUND Allergic rhinitis is a common respiratory disease. [semanticscholar.org]
Additional studies looking at SPG blocks for head and neck cancer pain (Varghese et al), along with another study looking at SPG for chronic vasomotor rhinitis (Quevedo et al) showed the injections work really well for both. [preferredpaincenter.com]
[…] facial pain Cancer pain of the head and neck Tongue and mouth pain Temporomandibular joint (TMJ) pain2 Sluder’s neuralgia Paroxysmal hemicrania Other possible therapeutic uses reported in literature include: Herpes Zoster Postherpetic neuralgia Vasomotor rhinitis [lubbockspineinstitute.com]
Midfacial segment pain: implications for rhinitis and sinusitis. Current Allergy and Asthma Reports, Vol. 4, Issue. 3, p. 187. CrossRef Google Scholar [cambridge.org]
- Yawning
Enquête en médecine générale Observations et cas cliniques Les mystères restant à éclaircir Bibliographie Neural basis of drug induced yawning Visiter des sites sur le sommeil Visiter des sites médicaux et bibliothèques Résumé - vulgarisation Imprimer [baillement.com]
Eagle syndrome occurs when an elongated styloid process or calcified stylohyoid ligament serves to irritate the tonsillar bed, classically resulting in cervicofacial pain, dysphagia, tinnitus, and otalgia precipitated by talking, yawning, or swallowing [ajnr.org]
Jaw & Teeth
- Dental Caries
The severity of the symptoms do not correlate with the gravity of disease: Dental caries have the capacity to produce constant boring pain ear pain, whereas laryngeal cancer may result in a much less intense earache. 1, 4 Diagnostic Work-Up for Referred [ajnr.org]
Face, Head & Neck
- Facial Pain
Facial pain: Trigeminal neuralgia. Ann Med 22: 193 – 196.5, 1993. Google Scholar 11. Suder, G. The role of the sphenopalatine ganglion in nasal headaches. New York Med J 87: 989 – 990, 1908. Google Scholar 12. Lang, J. [journals.sagepub.com]
Atypical facial pains--sluder's neuralgia--local treatment of the sphenopalatine ganglion with phenol--case report Otolaryngologia Polska 61(3): 319-321 2007 Chronic reccuring head and facial pain can be very difficult for successful treatment. [eurekamag.com]
Further investigation is needed to evaluate the usefulness of these approaches for various facial pain conditions.", keywords = "Anesthesia dolorosa, Persistent idiopathic facial pain, Sphenopalatine ganglion, Trigeminal neuralgia", author = "Arsani William [scholars.northwestern.edu]
Migraine headache Cluster headache (CH) Glossopharyngeal neuralgia Postherpetic neuralgia Atypical facial pain Sphenopalatine neuralgia. AB - A 38-year-old male presents with unilateral facial pain that has been present for several years. [experts.umich.edu]
PMID: 9578929 Effects of radiofrequency thermocoagulation of the sphenopalatine ganglion on headache and facial pain: correlation with diagnosis. Oomen KP, van Wijck AJ, Hordijk GJ, de Ru JA. Oomen KP, et al. J Orofac Pain. 2012 Winter;26(1):59-64. [pubmed.ncbi.nlm.nih.gov]
Neurologic
- Neuralgia
Vestnik Otorinolaringologii: 35-40, 1988 Sluder's neuralgia (vidian nerve neuralgia) & other atypical forms of facial neuralgia. [eurekamag.com]
Treatment options for Sluder's neuralgia, an uncommon cause for recurring head and face pain, are controversial. [journals.sagepub.com]
- Headache
The first book “Concerning Some Headaches and Eye Disorders of Nasal Origin” was published in 1918 and a second medical testbook that became the “Bible” for treating head and neck pain called “Nasal Neurology: Headaches and Eye Disorders” published in [sphenopalatineganglionblocks.com]
Of interest to anesthesiologists, SPG has recently been used to treat post dural puncture headache (PDPH) (post-spinal headache) in parturient as well as other patients. [crimsonpublishers.com]
Effects of radiofrequency thermocoagulation of the sphenopalatine ganglion on headache and facial pain: correlation with diagnosis. J Orofacial Pain. 2012 ; 26 (1): 59. 9. Headache Classification Committee of the International Headache Society. [cambridge.org]
Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 2nd edition. [walshmedicalmedia.com]
Sphenopalatine ganglion neuralgia and cluster headache: Comparisons contrasts, and treatment. Headache 17: 7 – 9, 1977. Google Scholar 2. Ryan, R.E., Kern, E.B. Rhinologic causes of facial pain and headache. Headache 18: 44 – 50, 1978. [journals.sagepub.com]
- Stroke
Moulin Cambridge University Press, ٠٧/١١/٢٠١٣ - 378 من الصفحات Central or peripheral neuropathic pain can be caused by a wide range of injuries, infections and diseases such as: spinal cord injury, multiple sclerosis, stroke, herpes zoster, diabetes [books.google.com]
Headaches Migraines Chronic Migraine Acute Headache Tension Headache Paroxysmal Hemicranias Atypical Trigeminal Neuralgia Trigeminal Autonomic Cephalalgias Orofacial Pain Sphenopalatine Ganglion Neuralgia (Sluder Neuralgia) Cerebrovascular Disorders (Stroke [medcraveonline.com]
Neurology, American Stroke Association Disclosure: Medscape Neurology Editorial Advisory Board for: Stroke Adjudication Committee, CREST2; Executive Committee for the NINDS-funded DEFUSE3 Trial; Physician Advisory Board for Coherex Medical. [emedicine.medscape.com]
In the Fascial Distortion Model (FDM), which examines the body language of the patient in diagnosis and treatment, one often finds stroking along a line, the so-called trigger band technique. [en.tso-stockholm.com]
- Seizure
Modeling Data Predict Strong Efficacy with Aptiom Monotherapy for Partial-Onset Seizures Researchers successfully predicted the efficacy of conversion to eslicarbazepine acetate (ESL, Aptiom) monotherapy at 800mg QD for partial-onset seizures through [practicalneurology.com]
It may result from structural abnormalities of the brain, brain injury, drugs that alter consciousness, drowsiness, seizures, or sleep. slow-reacting substance of anaphylaxis ABBR: SRS-A. [fadavispt.mhmedical.com]
There is a very small risk of seizures, infection and allergic reactions. [americanmigrainefoundation.org]
Other potential side effects include nose bleed, lightheadedness, allergic reaction, seizure, and infection. [paindoctor.com]
With any procedure that involves local anesthetic there is a theoretical risk of drug allergy and seizure (if the medication is injected into a blood vessel). Lastly with any penetration of skin and soft tissues, the risk of infection always exists. [arizonapain.com]
Workup
[…] https://doi.org/10.18203/issn.2454-5929.ijohns20220486 Keywords: Sphenopalatine neuralgia, Cluster headache, Sphenopalatine ganglion Abstract This report intends to summarize the underlying pathophysiology, relevant symptoms, appropriate diagnostic workup [ijorl.com]
See Workup for more detail. [emedicine.medscape.com]
Patients with a characteristic history and a normal neurologic examination other than pain may be treated without further workup. [dovepress.com]
Rhythm
- Sinus Arrest
Sphenopalatine ganglion block for treatment of sinus arrest in postherpetic neuralgia. Saberski L1, Ahmad M, Wiske P. [sleepandhealth.com]
Meningioma Pain due to Advanced Head and Neck Cancer Complex Regional Pain Syndrome Involving the Lower Extremity Sympathetic Mediated Pain Eye Disorders Vasomotor Rhinitis Sinus Arrest in Postherpetic Trigeminal Distribution Neuralgia Fibromyalgia Myofascial [medcraveonline.com]
Saberski L, Ahmad M, Wiske P (1999) Sphenopalatine ganglion block for treatment of sinus arrest in postherpetic neuralgia. Headache 39(1): 42-44. [crimsonpublishers.com]
Sphenopalatine ganglion block for treatment of sinus arrest in postherpetic neuralgia. Headache. 1999; 39:42-4. [7] Prasanna A, Murthy P: Vasomotor rhinitis and sphenopalatine ganglion block. [ainsworthinstitute.com]
Treatment
Atypical facial pains--sluder's neuralgia--local treatment of the sphenopalatine ganglion with phenol--case report Otolaryngologia Polska 61(3): 319-321 2007 Chronic reccuring head and facial pain can be very difficult for successful treatment. [eurekamag.com]
Treatment options for Sluder's neuralgia, an uncommon cause for recurring head and face pain, are controversial. [journals.sagepub.com]
In reports claiming cures with treatment directed at the ganglion the duration of post-treatment follow-up has been short. [pubmed.ncbi.nlm.nih.gov]
This case report describes the successful treatment of atypical V2 TN refractive to medical management requiring PRF treatment, a sphenopalatine block series, and low-dose methadone. [utmb.influuent.utsystem.edu]
Unfortunately most medical treatments failed and dentists evolved and became experts in the biomechanics of jaw function surplanting otolaryngologists as the primary caretakers of TMJ Dysfunction. [sphenopalatineganglionblocks.com]
Prognosis
Etiology, diagnosis, prognosis and the treatment of sphenopalatine ganglion neuralgia. JAMA 61: 1201 – 1206, 1913. Google Scholar 10. Lee, K.H. Facial pain: Trigeminal neuralgia. Ann Med 22: 193 – 196.5, 1993. Google Scholar 11. Suder, G. [journals.sagepub.com]
Headache Microchapters Home Patient Information Overview Historical Perspective Pathophysiology Causes Classification Differentiating Cluster Headache from other Diseases Epidemiology and Demographics Risk Factors Natural History, Complications and Prognosis [wikidoc.org]
Sluder G: Etiology, diagnosis, prognosis and treatment of sphenopalatine neuralgia. JAMA 1913, 61 :1201–1216. CrossRef Google Scholar 3. Eagle W: Sphenopalatine neuralgia. Arch Otolaryngol 1942, 35 :66–84. CrossRef Google Scholar 4. [link.springer.com]
[…] method to consider SN as a CH, it can be noted that in the published cases, although there is some overlap between the clinical manifestations of SN and CH, it does not completely fit the diagnostic criteria, and the corresponding treatment effect and prognosis [walshmedicalmedia.com]
Treatment and prognosis The initial treatment of trigeminal neuralgia is medical, with carbamazepine and/or gabapentin. [radiopaedia.org]
Etiology
The secondary headaches include a diverse and fascinating array of etiologies which can mimic primary headache disorders ranging from the rare to the mundane and from the well established to the highly controversial. [books.google.com]
[…] most frequent form of TN with defined etiology. [n.neurology.org]
Etiology, diagnosis, prognosis and the treatment of sphenopalatine ganglion neuralgia. JAMA 61: 1201 – 1206, 1913. Google Scholar 10. Lee, K.H. Facial pain: Trigeminal neuralgia. Ann Med 22: 193 – 196.5, 1993. Google Scholar 11. Suder, G. [journals.sagepub.com]
All rights reserved. neuralgia Nerve pain Neurology Pain along a nerve, more common in the elderly Etiology Injury, irritation, infection–herpes, or idiopathic Clinical Burning pain, worsened by movement or contact with affected areas; trigeminal neuralgia [medical-dictionary.thefreedictionary.com]
Epidemiology
Epidemiology, clinical diagnosis, pathophysiology, outcome measurement and the best evidence-based management of individual and general neuropathic pain conditions are also described in depth. [books.google.com]
Cluster Headache Microchapters Home Patient Information Overview Historical Perspective Pathophysiology Causes Classification Differentiating Cluster Headache from other Diseases Epidemiology and Demographics Risk Factors Natural History, Complications [wikidoc.org]
Epidemiology The prevalence of CH can be estimated at approximately 0,5 – 1.0/1,000 [ 3 – 12 ]. Table 3 summarizes the epidemiological studies on CH. [ojrd.biomedcentral.com]
Vågå study of headache epidemiology. Cephalalgia. 2005;25(4):296–304. 2. Caminero AB, Pareja JA. Supraorbital neuralgia: A clinical study. Cephalalgia. 2001;21(3):216–223. 3. Asensio-Samper JM, Villanueva VL, Pérez AV, et al. [dovepress.com]
Another case report of trigeminal neuralgia was reported in a patient with spontaneous intracranial hypotension; both conditions resolved following surgical treatment of a cervical root sleeve dural defect. [9] Epidemiology In 1968, Penman reported the [emedicine.medscape.com]
Pathophysiology
The Sphenopalatine Ganglion: Anatomy, Pathophysiology, and Therapeutic Targeting in Headache. [mayoclinic.pure.elsevier.com]
Diagnosis, pathophysiology, and management of cluster headache. Lancet Neurol. 2018;17(1):75-83. Chen Z, Ren H, Zhao C, Luo F. [ijorl.com]
Epidemiology, clinical diagnosis, pathophysiology, outcome measurement and the best evidence-based management of individual and general neuropathic pain conditions are also described in depth. [books.google.com]
Pathophysiology of cluster headache: a trigeminal autonomic cephalgia. The Lancet Neurology, 2002, 1; 4: 251-257. Robbins MS, Robertson CE, Kaplan E, Ailani J, Charleston L, Kuruvilla D, et al. [walshmedicalmedia.com]
Prevention
Transitional therapy • Short-term preventive treatment that bridges the time between cluster diagnosis and when a true preventive agent becomes effective. • When the transitional agent is tapered off (typically in one to two weeks) the maintenance preventive [slideshare.net]
In May 17, 2018, Erenumab, an anti-CGRP receptor monoclonal antibody, for prevention of migraine. Impact on Cultural History Translational research models were actually transformed into actual treatments, were also FDA approved. [wikidoc.org]
Daily preventive therapy is a key element in cluster headache treatment. There are very few established effective daily preventive medications. Although the options are limited, the medications are usually highly effective. [headachewellnesscenter.com]
[…] ganglion stimulation for preventive management of episodic and chronic cluster headache, respectively. [medlink.com]
Jorge Serrador, a cardiovascular electronics researcher, vasoconstriction, such as that in sphenopalatine ganglioneuralgia, is probably a defense mechanism to ensure that abrupt changes in temperature in the brain are prevented, and thus kept warm. [biology-online.org]