Wednesday, March 12, 2008
Sluder's syndrome
Also known as outlined in the lower face headache, as a reason for not atypical facial pain. Cause pathogenesis remains unclear, with the possible infection, vascular disorder, psychological factors, and so on. Clinical features of the side facial pain, ear scope does not exceed the height. More women than men doubled, was particularly prevalent in the 30-40 age, the individual and amenorrhea. Since starting nasal pain, and have expanded their orbital, there eyeball and the upper teeth continuous pain. Next expansive and ears and neck pillow, scapula to the Department of Radiotherapy, dual-arm and hands, the most painful part of it is the nasal and mastoid. Often the nose, nasal congestion, tinnitus and vertigo, allergy ipsilateral upper teeth, sometimes with bottom teeth usually volatile with continuing pain cyclical shock-like pain. Differential diagnosis (1) trigeminal neuralgia (trigeminal neuralgia) that the typical facial pain. Pain limited to the trigeminal nerve distribution area for the sudden lightning-like hair, a short and intense pain, each attack by a few seconds to 1-2 minutes a sudden stop, touch on the lower lip, alar, numbness of the mouth, cheek, Tongue and other "trigger point" and evoked, but also because of mandibular movements (such as the mouth to chew, speak), brush, wash, shaving movements caused. Trigeminal nerve block pain disappeared. (2) Other 1 atypical facial pain. Extension of neuralgia (vidian neuralgia) from Vail 's in 1932, the first to report. And that the wing of sphenoid sinus infection caused nerve stimulation or inflammation, it is felt that the sphenopalatine ganglion neuralgia is actually the wing of neuralgia. Adult mostly females, in particular, to the nose, face, eyes, ears, head, neck and shoulder pain of the sexual attack, not typical of the side seizures more in the evening attack, not by external stimuli attack, with sinusitis disorders, Accessibility shallow feeling. 2. Carotid pain (carotidynia) started in the common carotid artery. external carotid artery and the maxillary artery pain. To the side of the common carotid artery tenderness, swelling, the pulse of the specific characteristics of cyclical attacks, the majority of sexual side. Not with visual impairment, no systemic symptoms, when accompanied by systemic symptoms, the possibility of merging the skull arteritis. 90% of the natural recovery. 3. Facial Nerve headache (autonimic faciocephalagia) also known as blood expansion of headache syndrome. Pain threshold in the eye, cheek expansion along the nose and tooth and arrived ears. For vomiting and not even sleep, the pain continued for a few hours to several days.
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