A Patient With Persistent Headache

Swartz, Alan

doi:10.1016/j.nurpra.2013.10.007

Cited by 2 publications

(5 citation statements)

References 7 publications

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“…Literature Review.-All published cases that fulfilled Sluder's original description 1 and the new criteria for SN 7 were collected. 8,10,[12][13][14][15][16][17][18][19] Our own 7 cases were included. In total, data from 88 cases were analyzed.…”

Section: Resultsmentioning

confidence: 99%

“…All published cases that fulfilled Sluder’s original description and the new criteria for SN were collected . Our own 7 cases were included.…”

Section: Resultsmentioning

confidence: 99%

“…We reviewed 81 cases from the remaining 10 articles regarding the clinical diagnosis of SN . In order to extract descriptive results from as large a sample as possible, we combined the data from our clinic sample with those of the literature case reports and then conducted a pooled data analysis of the cases.…”

Section: Methodsmentioning

confidence: 99%

“…We reviewed 81 cases from the remaining 10 articles regarding the clinical diagnosis of SN. 8,10,[12][13][14][15][16][17][18][19] In order to extract descriptive results from as large a sample as possible, we combined the data from our clinic sample with those of the literature case reports and then conducted a pooled data analysis of the cases. The following information was abstracted from each case: (1) sex; (2) age at onset and age at report; (3) mode of onset; (4) intensity and quality of headache; (5) headache location; (6) triggers of headache; (7) duration of each episode; (8) accompanying autonomic symptoms; (9) auxiliary examination; (10) treatment; and (11) other associated history.…”

Section: Methodsmentioning

confidence: 99%

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Sphenopalatine Neuralgia: An Independent Neuralgia Entity. Pooled Analysis of a Case Series and Literature Review

Zhang

Long

et al. 2019

Headache

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Background Structural damage or demyelization of the sphenopalatine ganglion may cause sphenopalatine neuralgia (SN). The current International Classification of Headache Disorders, third edition (ICHD‐3) regards SN as a phenotype of cluster headache. Whether SN is an independent neuralgia entity has been debated for years. Methods This article presents a case series of SN, a review of all published cases, and a pooled data analysis of the identified cases. Results Seven patients were identified, with a median age at symptom onset of 59 years. Six cases were secondary to structural lesions surrounding the ipsilateral sphenopalatine ganglion, and all of them experienced significant clinical improvements after removing the primary causes. In the seventh patient, no evidence of underlying disease was found. The literature review showed that SN affected patients spanning a wide range of ages and both sexes. The clinical characteristics of SN might mimic cluster headache with the exception of cluster pattern and treatment response to oxygen. The typical duration of pain episodes in SN was several hours to several days; and in some cases, pain was persistent. Sixty‐seven percent (59/88) of patients with SN had structural lesions around the sphenopalatine ganglion. Conclusion SN could possibly be regarded as a different clinical entity from cluster headache. Based on our patients and literature review, SN can be categorized as idiopathic SN and secondary SN. Craniofacial structural lesions should be highly rating and taken into account when SN is suspected.

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Section: Resultsmentioning

confidence: 99%

“…All published cases that fulfilled Sluder’s original description and the new criteria for SN were collected . Our own 7 cases were included.…”

Section: Resultsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Sphenopalatine Neuralgia: An Independent Neuralgia Entity. Pooled Analysis of a Case Series and Literature Review

Zhang

Long

et al. 2019

Headache

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“…2 Almost all cases (99%) of SN were described with accompanying unilateral pain and of the patients that reported episodic pain, 72% of them detailed having pain that lasted at least 180 minutes. 2,6,22,[14][15][16][17][18][19][20][21] There are many potential risk factors that have been described that could possibly trigger sphenopalatine neuralgia. Emotional stress, cold environments, tooth damage, and nasal surgery were all identified as possible triggers in a study that followed 8 patients with confirmed cases of sphenopalatine neuralgia.…”

Section: Epidemiology and Risk Factorsmentioning

confidence: 99%

An update on the diagnosis, treatment, and management of sphenopalatine neuralgia

Swanson

Lewis

Thornhill

et al. 2022

Int J Otorhinolaryngol Head Neck Surg

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<p class="abstract">This report intends to summarize the underlying pathophysiology, relevant symptoms, appropriate diagnostic workup, necessary imaging, and medical and surgical treatments of Sphenopalatine neuralgia (SN). This was done through a comprehensive literature review of peer-reviewed literature throughout the most relevant databases. Dr. Greenfield Sluder first observed that a number of his patients had atypical headaches that caused referred pain to the head and neck regions. The current understanding of the pathophysiology of SN states that irritation of the pterygopalatine ganglion secondary to inflammatory processes of the posterior ethmoid and sphenoid sinuses causes symptoms including unilateral persistent headache that begins lateral to the nose or near the eye and radiates across the face. Diagnosis is typically clinical; however, this is challenging due to lack of a definitive diagnostic criteria. Dr. Sluder originally treated his patients with 20-67% cocaine that was injected into the pterygopalatine ganglion to relieve the pain. Today, we use 88% phenol applied to the nasal mucosa. The most definitive way to both diagnoses and treat SN is the injection of cocaine or 88% phenol into the sphenopalatine region. The aim of the study was to update providers on the important clinical signs of SN and the important distinction between the clinically distinct conditions of sphenopalatine neuralgia and cluster headache. This report also outlines the treatment options to address this condition. </p>

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A Patient With Persistent Headache

Cited by 2 publications

References 7 publications

Sphenopalatine Neuralgia: An Independent Neuralgia Entity. Pooled Analysis of a Case Series and Literature Review

Sphenopalatine Neuralgia: An Independent Neuralgia Entity. Pooled Analysis of a Case Series and Literature Review

An update on the diagnosis, treatment, and management of sphenopalatine neuralgia

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