Idiopathic Ophthalmodynia and Idiopathic Rhinalgia: A Prospective Series of 16 New Cases

Pareja, Juan A.; Montojo, Teresa; Peral, Á.L. Guerrero; Álvarez, Mónica; Porta‐Etessam, Jesús; Cuadrado, María‐Luz

doi:10.1111/head.12609

Cited by 6 publications

(5 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Idiopathic rhinalgia presents with continuous, chronic pain along the root of the nose or the whole nose with a median distribution . This location does not match the territory of any particular nerve.…”

Section: Discussionmentioning

confidence: 99%

Supratrochlear Neuralgia: A Prospective Case Series of 15 Patients

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Supratrochlear Neuralgia: A Prospective Case Series of 15 Patients

et al. 2017

Self Cite

View full text Add to dashboard Cite

show abstract

“…Primary stabbing headache commonly affects the periocular area, but the pain lasts just a few seconds and its location shows great variability even within the same individual (12,23). Idiopathic ophthalmodynia and idiopathic rhinalgia also produce pain in this region (24,25), but the distribution of the pain affects the eye globe or the nose without matching the distribution of any particular nerve. Several disorders of the eye and the orbit (26,27) must be also considered, but they can be appropriately excluded by ophthalmological and radiological exams.…”

Section: Discussionmentioning

confidence: 99%

Infratrochlear neuralgia: A prospective series of seven patients treated with infratrochlear nerve blocks

et al. 2017

View full text Add to dashboard Cite

Background Infratrochlear neuralgia is a recently described painful cranial neuropathy that causes pain in the internal angle of the orbit and the medial upper eyelid, the upper bridge of the nose and/or the lacrimal caruncle. We aim to present seven new cases of infratrochlear neuralgia treated with anaesthetic nerve blocks. Methods Over an 18-month period, we prospectively identified seven cases of infratrochlear neuralgia among the patients attending the Headache Unit in a tertiary hospital. Anaesthetic blocks were performed by injecting 0.5 cc of bupivacaine 0.5% at the emergence of the nerve above the internal canthus. Results All patients were women, and the mean age was 49.1 years (standard deviation, 17.9). The pain appeared at the internal angle of the orbit and/or the medial upper eyelid in six cases, and the whole territory of the infratrochlear nerve in one case. Six patients had continuous pain and one had episodes lasting 8-24 hours. All patients showed sensory disturbances within the painful area and tenderness upon palpation of the infratrochlear nerve. Nerve blocks resulted in complete and long-lasting relief in four patients and short-lasting relief in the other three patients. Conclusions Infratrochlear neuralgia should be considered among the neuralgic causes of orbital and periorbital pain. Anaesthetic blocks may assist clinicians in the diagnosis and may also be an effective therapy.

show abstract

“…La oftalmodinia idiopática y la rinalgia idiopática son dos tipos de dolor facial de etiología desconocida. Juan Pareja los describió en una serie de pacientes en el año 2010 (28), y publicó una segunda serie en 2015 (29).…”

Section: Oftalmodinia Y Rinalgia Idiopáticasunclassified

“…Estas entidades se caracterizan por un dolor localizado en el globo ocular o en la nariz, que normalmente es continuo, y que no se acompaña de alteraciones en la exploración oftalmológica u otorrinolaringológica. En los casos publicados se han observado respuestas positivas al tratamiento con AINEs, amitriptilina, gabapentina y pregabalina (28,29).…”

Section: Oftalmodinia Y Rinalgia Idiopáticasunclassified

Headaches and craniofacial neuralgias described by Spanish authors

Cuadrado Pérez

2024

an. ranm

View full text Add to dashboard Cite

Spanish physicians have made important contributions to the nosology of headaches by describing various syndromes. In 1954, Eduardo Tolosa Colomer published the first case of Tolosa-Hunt syndrome, a clinical picture characterized by orbital pain and paralysis of extraocular muscles due to the presence of granulomatous inflammation in the cavernous sinus. In 1980, José Félix Martí Massó described pseudomigraine with cerebrospinal fluid pleocytosis, which manifests with episodes of migraine-type headache, transient neurological deficits, and elevated lymphocytes in the cerebrospinal fluid, usually with a benign prognosis. Since 2002, Juan Pareja and his group have identified several entities including: nummular headache, characterized by pain localized in a small coin-shaped area of the skull; primary trochlear headache, originating in the trochlea, in the superointernal angle of the orbit; epicrania fugax, which manifests with episodes of paroxysmal pain radiating along the surface of the head, following a linear or zigzag trajectory, and idiopathic ophthalmodynia and rhinalgia, which present with pain in the eyeball or nose with no apparent cause. Juan Pareja has also described several trigeminal terminal branch neuralgias, which are characterized by pain limited to the corresponding cutaneous territory and which typically respond to anesthetic blockade of the nerve. Finally, paroxysmal pressing headache, described by the same author, is manifested by brief episodes of unilateral pressing pain without accompanying symptoms. All these descriptions have been documented in scientific publications, and most of them have had a significant impact on clinical practice.

show abstract

Idiopathic Ophthalmodynia and Idiopathic Rhinalgia: A Prospective Series of 16 New Cases

Abstract: The clinical features of this new series parallels those of the original description, thus indicating that both idiopathic ophthalmodynia and idiopathic rhinalgia have clear-cut clinical pictures with excellent consistency both inter- and intra-individually.

Cited by 6 publications

References 7 publications

Supratrochlear Neuralgia: A Prospective Case Series of 15 Patients

Supratrochlear Neuralgia: A Prospective Case Series of 15 Patients

Infratrochlear neuralgia: A prospective series of seven patients treated with infratrochlear nerve blocks

Headaches and craniofacial neuralgias described by Spanish authors

Contact Info

Product

Resources

About