Severe, severe pain in the face, head, neck, and shoulders

Introduction The vidian neuralgia was first reported by Vail in 1932. It is believed that pterygopalatine infection causes wing nerve stimulation or inflammation, so it is considered that pterygopalatine neuralgia is actually wing tube neuralgia. Adults, especially women, are more common. They are episodes of severe pain in the nose, face, eyes, ears, head, neck and shoulders. They are atypical side-sex episodes, which occur more often at night and do not occur due to external stimuli. With sinus inflammation, shallow feeling barrier-free. Neuralgia occurs mostly when the nerve is stimulated or inflamed. Maintaining a comfortable mood and moderate exercise to improve immunity can effectively prevent the disease from occurring.

Cause

Pain originated from the sphenopalatine ganglion is a clinically rare atypical facial nerve pain, and the pathogenesis is still unclear.

an examination

Related inspection

Facial nerve examination, neurological examination, cervical CT examination

The episodes of severe pain in the nose, face, eyes, ears, head, neck and shoulders are atypical side attacks, mostly in the evening, without external stimuli, may be associated with inflammation of the paranasal sinus, shallow feelings obstacle.

Differential diagnosis

Differential diagnosis of facial, head, neck and shoulder pains:

(a) Trigeminal neuralgia: typical facial pain. The pain is limited to the lightning-like lightning-like, rapid and severe pain in the trigeminal nerve distribution area. Each episode suddenly stops from a few seconds to 1-2 minutes, because of the trigger point of the upper and lower lips, nose, mouth, cheeks, tongue, etc. Induction, it can also be caused by movements such as jaw movements (such as chewing, talking), brushing, washing, shaving, and the like. Blocking trigeminal pain disappears.

(B) other atypical facial pain

1. Carotidynia: pain that begins in the common carotid artery, the external carotid artery, and the jaw artery. It is characterized by tenderness, swelling, and specific pulsation of one side of the common carotid artery. It is a periodic episode, mostly one-sided. Without visual impairment, no systemic symptoms, and may be associated with cranial arteritis when accompanied by systemic symptoms. 90% can heal naturally.

2 autonimic faciocephalagia (also known as vasodilator headache syndrome). The pain starts at the eye, expands the cheek, and abuts the ear along the nose and teeth. Can not sleep because of vomiting, the pain lasts for hours to days.

3 Sluder syndrome: immediate facial headache syndrome. One side of the facial pain, the range does not exceed the height of the auricle, can be listed as atypical facial pain, no infection, not according to nerve distribution.

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