What is different about trigeminal neuralgia in multiple sclerosis? Between 1% and 2% of patients with MS present with symptoms of TN. In patients with a history of MS, TN generally presents bilaterally. TN complaints in MS patients are most common between the ages of 60 and 70 years of age, and in these patients …
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Sphenopalatine neuralgia Sphenopalatine neuralgia, also termed lower half headache, greater superficial neuralgia, and Sluder’s neuralgia, is an uncommon facial pain disorder. Key clinical features include unilateral pain in the face lasting for days and associated with nasal congestion, otalgia, and tinnitus. Unlike trigeminal and GPN, sphenopalatine neuralgia is not commonly associated with a trigger zone. …
Superior laryngeal neuralgia The superior laryngeal nerve, a branch of the vagus nerve, innervates the cricothyroid muscle of the larynx. This muscle stretches, tenses, and adducts the vocal cord. Superior laryngeal neuralgia usually appears as a postsurgical complication. There are paroxysms of unilateral submandibular pain, sometimes radiating to the eye, ear, or shoulder. This pain …
Tolosa Hunt syndrome? Tolosa-Hunt syndrome is a painful ophthalmoplegia caused by idiopathic inflammation in the region of the superior orbital fissure. Acute-onset deep retro-orbital pain often precedes the onset of diplopia. MRI is a useful modality to confirm inflammation of the cavernous sinus, although sometimes it presents as normal. While the pain will respond well …
most common presentation of acute herpes zoster of the face Ophthalmic zoster, a herpetic eruption in the V1 distribution of the trigeminal nerve, is the most common. Pain may precede the eruption by several days. This type of facial herpes is the most dangerous, as the viral vesicles may involve the eye, leading to blindness …
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presentation and treatment of geniculate neuralgia Geniculate neuralgia, also termed nervus intermedius neuralgia, is an extremely rare disorder that affects young to middle-aged women. It presents as brief intermittent episodes of deep stabbing ear pain, triggered by cutaneous stimulation of the auditory canal. The pain can also be associated with increased salivation, a bitter taste, …
How does diabetic amyotrophy present? This will occur in those with type 2 diabetes. Common presentation is acute, asymmetric, and focal onset of pain and weakness usually in the proximal leg. This will progress over the course of a few months and then partially or fully resolve over time. As this pain progresses, symptoms may …