Non-traumatic supraorbital neuralgia: A clinical study of 13 cases

Abstract

Non-traumatic SON is an uncommon disorder in our headache clinic. Female preponderance and clinical features are comparable to the data collected in previous studies. A spontaneously remitting pattern is not uncommon, and anesthetic blockades are not always required.

Treatment of Refractory Idiopathic Supraorbital Neuralgia Using Percutaneous Pulsed Radiofrequency

“…The inclusion criteria were (1) patients with persistent or paroxysmal severe piercing or burning‐type pain in the innervated region of the supraorbital nerve but without autonomic manifestations; (2) patients who responded to a diagnostic supraorbital nerve block (using 2 mL of 5 mg/mL bupivacaine); (3) patients with supraorbital notch tenderness upon physical examination; (4) patients without abnormalities in cranial computed tomography (CT) or magnetic resonance imaging (MRI) examinations; and (5) patients who previously received oral carbamazepine, local anesthetics, and steroids for the nerve block treatment and could not achieve satisfactory pain relief.…”

“…Supraorbital neuralgia involves the presence of severe pain in the supraorbital nerve distribution area that severely compromises the patient's health and influences his or her normal work and daily life. Because the prevalence of supraorbital neuralgia is relatively low and few literature reports have been published, no ideal clinical treatment standards have been determined.…”

Supratrochlear Neuralgia: A Prospective Case Series of 15 Patients

“…The current description of supratrochlear neuralgia completes the spectrum of periorbital neuralgias. Cranial neuralgias that may cause periorbital pain include supraorbital neuralgia, supratrochlear neuralgia, infratrochlear neuralgia, lacrimal neuralgia, and infraorbital neuralgia . While all these disorders are considered trigeminal branch neuralgias, they are distinct from trigeminal neuralgia .…”

“…Although the supraorbital and supratrochlear nerves share the forehead's innervation, classically the former has been held responsible for the vast majority of cases presenting with neuralgic pain in this region. The term supraorbital neuralgia prevails instead of neuralgia of the supraorbital nerve, underlining the potential anatomical variations that make it difficult to pinpoint the origin of the pain to either the supraorbital or supratrochlear nerve on clinical grounds alone …”

Interdisciplinary management of headache disorders

“…SON and STN blockade has been used to treat migraine, 97,99,125 hemicrania continua, 110 cervicogenic headache, 97 and supraorbital neuralgia. [126][127][128] Sphenopalatine ganglion block…”