Lacrimal Neuralgia: A Case Report and Comprehensive Review of the Literature.
Curr Pain Headache Rep
; 28(9): 929-939, 2024 Sep.
Article
en En
| MEDLINE
| ID: mdl-38676822
ABSTRACT
PURPOSE OF REVIEW Lacrimal neuralgia is a rare periorbital neuralgia. To date, only nine cases have been reported in the literature. Herein, we report a case and a comprehensive overview of the entity with a focus on the differential diagnosis of lacrimal neuralgia. Additionally, we propose putative diagnostic criteria for this rare neuralgia based on cases that have been reported. RECENT FINDINGS:
Among the ten cases of lacrimal neuralgia reported (including the one in this review), seven out of ten were idiopathic, and the other three were considered secondary. Most patients reported stabbing and shooting pain that was either paroxysmal or continuous. The most effective therapy was nerve block for seven patients and pregabalin for three patients. The most important clues to differentiate lacrimal neuralgia from other causes of periorbital pain include pain topography and pain with features suggestive of neuralgia. The core feature of lacrimal neuralgia is neuralgic pain located in the area supplied by the lacrimal nerve, and the etiology could be primary or secondary. Responsiveness to anesthetic blockade might better serve as a confirmational, rather than mandatory, criterion for diagnosis.Palabras clave
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Neuralgia
Idioma:
En
Revista:
Curr Pain Headache Rep
/
Curr. pain headache rep
/
Current pain and headache reports
Asunto de la revista:
FISIOLOGIA
/
NEUROLOGIA
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PSICOFISIOLOGIA
Año:
2024
Tipo del documento:
Article