Neuropathic Pain by Attal Nadine;Bouhassira Didier;

Author:Attal, Nadine;Bouhassira, Didier;
Language: eng
Format: epub
Publisher: Oxford University Press, Incorporated
Published: 2023-03-15T00:00:00+00:00

TABLE 23.1 Main Causes of Unilateral Facial Pain and Their Clinical Characteristics

Cluster headache Attacks of severe, strictly unilateral pain which is orbital, supraorbital, temporal or in any combination of these sites, lasting 15–180 minutes and occurring from once every other day to eight times a day.

Associated with ipsilateral conjunctival injection, lacrimation, nasal congestion, rhinorrhoea, forehead and facial sweating, miosis, ptosis and/or eyelid oedema, and/or with restlessness or agitation

Trigeminal neuralgia (classical, idiopathic) Recurrent unilateral brief electric shock-like pains, abrupt in onset and termination (paroxysmal), limited to the distribution of one or more divisions of the trigeminal nerve and triggered by innocuous stimuli (brushing the teeth, eating, speaking)

Migraine Attacks lasting 4–72 hours.

Unilateral location, pulsating quality, moderate or severe intensity, aggravation by routine physical activity

Association with nausea and/or photophobia and phonophobia

Rhinosinusitis In temporal relation to the onset and outcome of rhinosinusitis

Exacerbated by pressure over the paranasal sinusesi

Giant cell arteritis (GCA) Temporal relation to onset and outcome of GCA, or has led to the diagnosis of GCA

Associated with scalp tenderness and/or jaw claudication

Optic neuritis Unilateral or bilateral retro-orbital, orbital, frontal and/or temporal pain

Temporal relation to the optic neuritis

Pain aggravated by eye movement

Disorder of the teeth Temporal relation to the onset and outcome of the disorder or appearance of the lesion

Exacerbated by palpation, probing or pressure applied to the affected tooth or teeth

Headache attributed to temporomandibular disorder (TMD) Temporal relation to temporomandibular disorder

Aggravated by jaw motion, jaw function (e.g., chewing) and/or jaw parafunction (e.g., bruxism)

Provoked on physical examination by temporalis muscle palpation and/or passive movement of the jaw

Post herpetic neuralgia Unilateral facial pain in the distribution(s) of a trigeminal nerve branch or branches, persisting or recurring for >3 months with temporal relation to the herpes zoster infection

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