Other facial neuralgias

O’Neill, Francis; Nurmikko, Turo; Sommer, Claudia

doi:10.1177/0333102417689995

Cited by 33 publications

(30 citation statements)

References 100 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Hyoid bone syndrome is believed to be related to an insertion tendinitis or tendinosis of the muscular attachments to the hyoid bone. 11 Laryngoscopy commonly reveals hypopharyngeal indentation due to a prominent superior thyroid or hyoid cornu. Careful palpation of the greater cornu of the hyoid bone or thyroid cartilage will often reproduce symptoms, which may help to differentiate each syndrome.…”

Section: Discussionmentioning

confidence: 99%

Superior Laryngeal Nerve Neuralgia: Case Series and Review of Anterior Neck Pain Syndromes

2019

View full text Add to dashboard Cite

Superior laryngeal nerve neuralgia (SLNN) is an anterior neck pain syndrome that is underrecognized and, as a result, is often misdiagnosed. We present a series of patients who were diagnosed with and subsequently treated for SLNN. Nineteen patients were treated with oral nonsteroidal anti-inflammatory drugs (NSAIDs) and/or a therapeutic neck injection with 2% lidocaine and 40% triamcinolone acetonide. All patients completed a visual analog scale (VAS) to rate the level of pain before and after treatment. Four patients rated their pain as mild, 14 as moderate, and 1 as severe according to the VAS. Of the 19 patients, 8 chose to proceed with a 2-week course of NSAIDs and only 1 of them had complete resolution of their symptoms. A total of 18 patients underwent therapeutic neck injections, with a complete response to injection therapy in 10 patients. Five patients described a minimal residual foreign body sensation and 3 patients complained of mild residual pain. In this study, we found that therapeutic neck injections are effective not only in confirming the diagnosis but also in treating pain.

show abstract

Section: Discussionmentioning

confidence: 99%

Superior Laryngeal Nerve Neuralgia: Case Series and Review of Anterior Neck Pain Syndromes

2019

View full text Add to dashboard Cite

show abstract

“…Pathologic Conditions.-The nerve can be affected by head and neck tumors, jugular foramen glomus tumors, metastasis, injuries, autoimmune or idiopathic neuropathy, and post-radiation therapy changes (43,44). Isolated glossopharyngeal palsy is rare.…”

Section: Glossopharyngeal Nervementioning

confidence: 99%

MR Neurographic Evaluation of Facial and Neck Pain: Normal and Abnormal Craniospinal Nerves below the Skull Base

Chhabra¹,

Bajaj²,

Wadhwa³

et al. 2018

RadioGraphics

View full text Add to dashboard Cite

Cranial nerve disease outside the skull base is a common cause of facial and/or neck pain, which causes significant disability for patients and frustration for clinicians. Neuropathy in this region can be traumatic, idiopathic, or iatrogenic secondary to dental and surgical procedures. MR neurography is a modification of conventional MRI techniques dedicated to evaluation of peripheral nerves and is being increasingly used for imaging of peripheral neuropathies at various sites in the body. MR neurography facilitates assessment of different causes of craniofacial pain and cranial nerves and allows elegant depiction of a multitude of regional neuropathies. This article discusses the anatomy, pathologic conditions, and imaging findings of the commonly implicated but difficult to image infratentorial nerves, such as the peripheral trigeminal nerve and its branches, facial nerve, glossopharyngeal nerve, vagus nerve, hypoglossal nerve, and greater and lesser occipital nerves. RSNA, 2018.

show abstract

“…2 However, the therapeutic effect of these drugs is variable, and may decline over time. 8 Glossopharyngeal nerve block could provide an excellent alternative to pharmacological treatment for glossopharyngeal neuralgia via injection of local anesthetic with or without steroids. However, it is difficult to obtain long-term effect even despite the guidance of ultrasound.…”

Section: Introductionmentioning

confidence: 99%

<p>The Long-Term Outcome of CT-Guided Pulsed Radiofrequency in the Treatment of Idiopathic Glossopharyngeal Neuralgia: A Retrospective Multi-Center Case Series</p>

Jia

Shrestha

Wang

et al. 2020

JPR

View full text Add to dashboard Cite

Background: Safer and minimal invasive treatment options with minor side effects are in great demand in the treatment of glossopharyngeal neuralgia (GPN). Pulsed radiofrequency (PRF) is a micro-destructive procedure that could be applied repeatedly without irreversible damage to target tissue. However, few studies have reported the long-term clinical outcomes of PRF in the management of idiopathic GPN patients. Methods: We retrospectively investigated the efficacy and safety of computed tomography (CT)-guided PRF in the treatment of 30 patients with idiopathic GPN in a multi-center clinical study. Numeric rating scale (NRS) score was used to evaluate pain intensity before and after PRF treatment. The effective rate was defined as the percentage of patients with NRS reduction of more than 50%. Baseline characteristics, surgical records, initial pain relief, time to take effect, long-term outcomes, patient satisfaction using a five-level Likert Scale, the incidence of recurrence as well as subsequent treatment choices, intraoperative and postoperative complications were retrieved from electronic medical records. Results: A total of 30 idiopathic GPN patients who received PRF under CT-guidance were included in our study and the initial effective rate was 93.3%. The cumulative proportion of patients with satisfactory pain relief survival was 93.3% at 12 months, 89.6% at 24 months, 85.3% at 36 months, 79.6% at 48 months, 73.0% at 60 months and 72 months, and 54.8% at 84 months, 108 months as well as 120 months. No serious morbidity or mortality were observed in any of the cases. The median patient satisfaction in Likert scale rating was 4.0 (IQR, 3.0-5.0). Conclusion: According to our results, PRF is an effective and safe therapy for patients with idiopathic GPN. This minimally invasive, micro-destructive, neuro-modulatory technique could be a potential intervention of choice for the treatment of GPN patients who respond poorly to pharmacological treatment.

show abstract

Other facial neuralgias

Cited by 33 publications

References 100 publications

Superior Laryngeal Nerve Neuralgia: Case Series and Review of Anterior Neck Pain Syndromes

Superior Laryngeal Nerve Neuralgia: Case Series and Review of Anterior Neck Pain Syndromes

MR Neurographic Evaluation of Facial and Neck Pain: Normal and Abnormal Craniospinal Nerves below the Skull Base

<p>The Long-Term Outcome of CT-Guided Pulsed Radiofrequency in the Treatment of Idiopathic Glossopharyngeal Neuralgia: A Retrospective Multi-Center Case Series</p>

Contact Info

Product

Resources

About