Cases reported "Facial Neuralgia"

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11/26. Neuralgia of the intermediate nerve combined with trigeminal neuralgia: case report.

    An unusual case of a combination of trigeminal and intermediate nerve neuralgia is presented, caused by vascular compression of both of the nerve roots by different vessels. Because the neuralgia of the intermediate nerve could be cured by a vascular decompression operation, it is suggested to include it among the hyperactive dysfunction syndromes of cranial nerves caused by vascular compression at the root entry zone of the nerves. Therefore also for treatment of this neuralgia the non-destructive vascular decompression operation should be taken into consideration.
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12/26. Etiology and treatment of idiopathic trigeminal and atypical facial neuralgias.

    In a series of sixteen patients with idiopathic trigeminal neuralgia and twenty-one patients with atypical facial neuralgia, it was found that the painful phenomena associated with both disorders were, in nearly all instances, closely related to the presence of maxillary or mandibular bone cavities at previous tooth extraction sites. Standard oral surgical procedures for curettage of the cavities, together with administration of antibiotics, were employed in the successful treatment of both the trigeminal and atypical facial neuralgias, with complete pain remissions for periods varying from 2 months (for most recently treated cases) up to 9 years. The observations and results of this study suggest that dental and oral disorders may play a role in the genesis of trigeminal and atypical facial neuralgias.
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13/26. Alcoholic facial neuralgia: report of three cases.

    Three cases of jaw pain recurrently precipitated by consumption of alcohol are described. Alcohol-induced neuralgia is added to the differential diagnosis of atypical orofacial pain.
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14/26. A review of treatment modalities for periodic migrainous neuralgia.

    Ten cases of periodic migrainous neuralgia are reported. Clinical details of the cases including presentation and clinical course are typical of this condition. Treatment of these 10 cases encompasses medical, minor surgical and major surgical procedures. The results demonstrate that if medical treatment fails or there are severe drug side effects, trigeminal rhizotomy may be effective in producing long-term pain relief. If pain recurs or trigeminal rhizotomy is ineffective, section of the greater and lesser superficial petrosal nerves should be considered.
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15/26. Intraoral nerve block for glossopharyngeal neuralgia.

    Glossopharyngeal neuralgia was treated by a new method of intraoral block. The procedure consists of block for the tonsillar branch and block of the lingual branch by the injection of 5% phenol in Glycerin. This can be applied for neuralgia with a trigger zone around the tonsil. The result is quite satisfactory. This is extremely safe and simple, and can be performed repetitively when recurrences occur. Also, this procedure does not preclude later operations as a final step.
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16/26. Further observations on dental parameters of trigeminal and atypical facial neuralgias.

    One hundred thirty-one patients with primary trigeminal neuralgia and 77 patients with atypical facial neuralgia or pain were treated by oral surgical procedures, with complete or almost complete pain remission in 88% of the cases and without persistent residual anesthesias, dysesthesias, or dysalgesias. The following conditions were related to patients' pain perceptions: cavities in alveolar bone at tooth extraction sites, bone fistulas, periodontal infections, and maxillary sinus infections draining into alveolar bone. The bone cavities and fistulas mentioned above were usually not visualized by standard x-ray diagnostic procedures, and their detection required a new diagnostic approach which is described. Microbiologic findings indicated involvement of a mixed, variable flora in the above conditions. Histopathologic observations of scrapings from involved bone showed a variable incidence of bone necrosis, predominantly chronic inflammatory cell populations and fibrous tissue.
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17/26. Styloid-stylohyoid syndrome in the differential diagnosis of atypical facial pain.

    Differential diagnosis of atypical facial pain can be a perplexing problem. Similarities in symptomatology and nonspecific subjective findings make diagnosis difficult. The astute diagnostician, regardless of his speciality, must be acutely aware of key findings that will differentiate the myriad of chronic pain syndromes in his patients. Accurate correlation of clinical and radiographic findings in patients with "Eagle's syndrome" may assist the clinician in distinguishing this entity from other pain syndromes, such as glossopharyngeal or vagoglossopharyneal neuralgia.
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keywords = neuralgia
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18/26. facial neuralgia associated with recurrent herpes simplex.

    At least seven cases of facial neuralgia associated with recurrent herpes simplex have been reported in the medical literature. This condition has not been reported in the dental literature. A case of facial neuralgia associated with recurrent herpes simplex in a 34-year-old woman at varying intervals over a 20-year period is reported. Tension applied to the commissure on the right side of the patient's mouth during routine dental procedures can cause the neuralgia to develop, and she reports having undergone extraction of the permanent right mandibular first molar at the age of 15, when a similar neuralgia was present.
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keywords = neuralgia
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19/26. Intractable facial pain associated with a ganglioglioma of the cervicomedullary junction: report of a case.

    A 6-year-old child with a brain stem tumor presented with the unusual complaint of intractable facial pain resembling trigeminal neuralgia in the absence of other symptoms or signs referable to the 5th cranial nerve. The radiological evaluation included a computed tomographic scan with intravenous contrast administration, which demonstrated an enhancing intramedullary lesion extending from the obex to C-4. After radiation and chemotherapy had failed to achieve symptomatic relief, the tumor, later proven to be a ganglioglioma, was radically removed with the ultrasonic aspirator. Postoperatively the patient experienced full pain relief.
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keywords = neuralgia
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20/26. Identification of myofascial trigger point syndromes: a case of atypical facial neuralgia.

    Myofascial trigger points (TPs) in a muscle are usually activated by acute or chronic overload of the muscle. They are identified by objective and subjective findings. Objective signs include a palpably firm, tense band in the muscle, production of a local twitch response, restricted stretch range-of-motion, weakness without atrophy, and no neurologic deficit. Subjectively, the patient reports stiffness and easy fatigability, spontaneous pain in a distribution predictable for that TP, an exquisite deep tenderness specifically at the TP. Sustained pressure on the TP induces referred pain in the predicted pattern. Some muscles are likely to produce additional objective and subjective autonomic concomitants. Laboratory and radiographic findings are negative. The affected muscle is treated by passive stretch while a jet stream of vapocoolant spray is applied over it, or by injection of the TP with a local anesthetic. A case report describes in detail the treatment of a patient who, for 13 years, had suffered from a medically enigmatic, intense right facial pain with severe dysfunction and who is now pain-free, with a full schedule of unrestricted activities 23 years later.
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keywords = neuralgia
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