A Case of Prethoracic Pain Radiating Upward and Initiating Nervus Intermedius Neuralgia and Migraine Headache: Could Epicrania Fugax Pain Start in the Upper Body?

2017 ◽  
Vol 31 (4) ◽  
pp. 398-401
Author(s):  
Yu Wang ◽  
Pei-Lin Kan ◽  
Yuan-Feng Tao ◽  
Xiao-Yan Li ◽  
Xiao-Juan Yang ◽  
...  
Keyword(s):  
Migraine Headache ◽  
Upper Body ◽  
Epicrania Fugax ◽  
Nervus Intermedius Neuralgia ◽  
Nervus Intermedius

A Case of Nervus Intermedius Neuralgia

2020 ◽  
Vol 137 ◽  
pp. 89-92
Author(s):  
Keisuke Onoda ◽  
Ai Kawaguchi ◽  
Yoshinori Takaya ◽  
Yuzo Saito ◽  
Hisashi Ishikawa ◽  
...  
Keyword(s):  
Nervus Intermedius Neuralgia ◽  
Nervus Intermedius

Juvenile nervus intermedius otalgia

1980 ◽  
Vol 94 (9) ◽  
pp. 1069-1073 ◽  
Author(s):  
R. Sharan ◽  
D. K. Isser ◽  
H. P. Narayan
Keyword(s):  
Unusual Case ◽  
Age Of Onset ◽  
Cranial Nerves ◽  
Warning Signal ◽  
The Face ◽  
Cranial Fossa ◽  
Nervus Intermedius Neuralgia ◽  
Actual Damage ◽  
Local Analgesics ◽  
Nervus Intermedius

AbstractAN unusual case of otalgia with severe, piercing, almost constant, shock-like pain localized deep in the ear of a girl of 12 years is described. Clinical examination and investigations failed to demonstrate any organic pathology in the ear, nose, para-nasal sinuses, fauces, pharynx, larynx, teeth, jaws, temporomandibular joint, salivary glands, neck or posterior cranial fossa. Medical treatment and infiltration of local analgesics around the cutaneous nerves brought no relief. The pain was relieved temporarily by chorda tympani neurectomy and permanently by section of the nervus intermedius, thus leading to a diagnosis of nervus intermedius neuralgia.Pain is a warning signal against potential or actual damage to tissue cells. The middle ear is one of those areas which is sensitive to pricking, scratching, cutting, pressure or extremes of heat and cold.Earache is a very common complaint. Pain may be felt in the ear but the cause may lie elsewhere. Such patients with referred otalgia often present to the otologist; rarely, they present with otalgia of neuralgic quality, with piercing, shock-like pain, without any demonstrable or detectable cause in the distribution of the cranial nerves supplying the ear. One such condition is the otological type of geniculate neuralgia, in which the pain is centered within the ear and may radiate to the deeper structures of the face; the attack may be paroxysmal or continuous.The following case of otalgia is reported because of its rarity, its juvenile age of onset, and the problem posed in treatment. The patient was relieved only by surgical treatment.

Open Microvascular Decompression

2018 ◽  
pp. 70-103
Author(s):  
James Pan ◽  
Lily H. Kim ◽  
Allen Ho ◽  
Eric S. Sussman ◽  
Arjun V. Pendharkar ◽  
...  
Keyword(s):  
Natural History ◽  
Trigeminal Neuralgia ◽  
Hemifacial Spasm ◽  
Microvascular Decompression ◽  
Cranial Nerves ◽  
Neurosurgical Procedure ◽  
Adjuvant Therapies ◽  
Alternative Techniques ◽  
Nervus Intermedius Neuralgia ◽  
Nervus Intermedius

Microvascular decompression (MVD) is a neurosurgical procedure used to treat various neuralgias of the cranial nerves. The clinical presentation, natural history, pathophysiology, and medical management of trigeminal neuralgia, hemifacial spasm, glossopharyngeal neuralgia, and nervus intermedius neuralgia is reviewed. A thorough discussion on the retrosigmoid approach for decompression of cranial nerves is presented, along with newer techniques and controversies on adjuvant therapies and neuromonitoring. The surgical outcomes of MVD are discussed, along with alternative techniques to open MVD.

scholarly journals Atypical Cluster and Migraine Headache Starting with a Reverse Epicrania Fugax

Pain Medicine ◽  
2013 ◽  
Vol 14 (5) ◽  
pp. 765-766 ◽  
Author(s):  
Ping Jin ◽  
Yu Wang
Keyword(s):  
Migraine Headache ◽  
Epicrania Fugax

Geniculate neuralgia: a systematic review

2014 ◽  
Vol 128 (5) ◽  
pp. 394-399 ◽  
Author(s):  
I P Tang ◽  
S R Freeman ◽  
G Kontorinis ◽  
M Y Tang ◽  
S A Rutherford ◽  
...  
Keyword(s):  
Medical Treatment ◽  
Clinical Presentation ◽  
Limited Data ◽  
First Line Therapy ◽  
Root Entry Zone ◽  
Search Terms ◽  
Surgical Options ◽  
Nervus Intermedius Neuralgia ◽  
Nervus Intermedius

AbstractObjective:To systematically summarise the peer-reviewed literature relating to the aetiology, clinical presentation, investigation and treatment of geniculate neuralgia.Data sources:Articles published in English between 1932 and 2012, identified using Medline, Embase and Cochrane databases.Methods:The search terms ‘geniculate neuralgia’, ‘nervus intermedius neuralgia’, ‘facial pain’, ‘otalgia’ and ‘neuralgia’ were used to identify relevant papers.Results:Fewer than 150 reported cases were published in English between 1932 and 2012. The aetiology of the condition remains unknown, and clinical presentation varies. Non-neuralgic causes of otalgia should always be excluded by a thorough clinical examination, audiological assessment and radiological investigations before making a diagnosis of geniculate neuralgia. Conservative medical treatment is always the first-line therapy. Surgical treatment should be offered if medical treatment fails. The two commonest surgical options are transection of the nervus intermedius, and microvascular decompression of the nerve at the nerve root entry zone of the brainstem. However, extracranial intratemporal division of the cutaneous branches of the facial nerve may offer a safer and similarly effective treatment.Conclusion:The response to medical treatment for this condition varies between individuals. The long-term outcomes of surgery remain unknown because of limited data.

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