Face and Head Neuralgias

Trigeminal neuralgia The second and third divisions are most commonly involved, and the attacks have trigger points. The symptom may be due to tumors, inflammation, vascular anomalies or aberrations, and multiple sclerosis. Trigeminal neuralgia is the most frequent of all forms of neuralgia

Glossopharyngeal neuralgia

Occipital neuralgia

Nasociliary neuralgia

Neuralgia of the sphenopalatine ganglion (Sluder's neuralgia)

Geniculate ganglion neuralgia

Greater superficial petrosal nerve neuralgia (vidian neuralgia)

Neuralgia of inter-medius nerve

Anesthesia dolorosa

Attacks, lasting for seconds or minutes, of paroxysmal pains, which are burning or stabbing in nature, and are localized in the region of the tonsils, posterior pharynx, back of the tongue, and middle ear. May be idiopathic, or caused by vascular anatomical aberrations in the posterior fossa or regional tumors

Attacks of paroxysmal pain along the distribution of the greater or lesser occipital nerve, of unknown etiology

Paroxysmal attacks of orbital pain, caused or exacerbated by touching the medial canthus and associated with edema and rhinorrhea. It is of unknown etiology

Short-lived attacks of pain in the orbit, base of nose, and maxilla, associated with lacrimation, rhinorrhea and facial flushing. It affects elderly women, and the cause is idiopathic

Paroxysmal attacks of pain are localized in the ear, caused by regional tumors or vascular malformations

Attacks of pain in the medial canthus, associated with tenderness and pain in the base of nose and maxilla, brought out or triggered by sneezing. The cause is idiopathic or inflammatory

Paroxysmal deep ear pain with a trigger point in the ear; of unknown etiology. It may be related to varicella zoster virus infection

Continuous trigeminal pain in the hypalgesic or analgesic territory of the nerve. It occurs after percutaneous radiofrequency lesions or ophthalmic herpes zoster

Tolosa-Hunt syndrome Episodes of retro-orbital pain lasting for weeks or months, associated with paralysis of cranial nerves III, IV, the first division of nerve V, VI, and rarely VII. There is intact pupillary function. It is caused by a granulomatous inflammation in the vicinity of the cavernous sinus

Raeder's syndrome

Gradenigo's syndrome

Symptomatic neuralgia of the first division of cranial nerve V, associated with Horner's syndrome, and possibly ophthalmoplegia from middle cranial fossa pathology

Continuous pain in the first and second divisions of cranial nerve V, with associated sensory loss, deafness, and sixth cranial nerve palsy. It particularly affects patients with inflammatory lesions in the region of the petrous apex after otitis media

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