supraorbital neuralgia
Introduction
Introduction to supraorbital neuralgia The supraorbital nerve is the distal branch of the first branch of the trigeminal nerve, which is shallower. Supraorbital neuralgia refers to persistent or paroxysmal pain in the distribution of the supraorbital nerve (forehead). Supraorbital neuralgia is often intermittent or bilateral posterior, periorbital unexplained burning or dull pain. There is obvious tenderness at the upper incision, but the eyeball and its appendages have no organic lesions, which are common diseases of ophthalmology. . The onset of the disease is more acute, manifested as paroxysmal or persistent acupuncture-like pain or burning sensation on one or both sides of the forehead. It can also be accompanied by paroxysmal aggravation in the case of persistent pain. There is tenderness in the upper incision, and the supraorbital nerve distribution area (forehead) is flaky hyperalgesia or diminished. basic knowledge The proportion of sickness: 0.01% Susceptible people: no specific population Mode of infection: non-infectious Complications: muscle atrophy bacterial infection
Cause
Cause of supraorbital neuralgia
It is related to the cold, cold, trauma and other factors. Because the supraorbital nerve is the distal branch of the first branch of the trigeminal nerve, it is more superficial, so it is easy to be affected. The onset is more acute, which is manifested as one or both sides of the forehead paroxysmal. Or continuous acupuncture-like pain or burning sensation, can also be accompanied by paroxysmal aggravation in the case of persistent pain. The body can see that there is tenderness in the upper sacral nerve at the exit of the supraorbital nerve, and the supraorbital nerve distribution area (foreburm) is flaky. Hyperalgesia or loss.
Prevention
Supraorbital neuralgia prevention
1. Mental stimulation. If mental stimulation is likely to cause supraorbital neuralgia, not all stimuli will cause the disease to occur. The most important cause of supraorbital neuralgia is mental stimulation. Many patients have been suffering from emotions or moods. They are more and more eye-catching every day. Over time, they will have stagnation of the liver and anger, and the liver will be vigorous, which will induce the occurrence of supraorbital neuralgia.
2. The pain trigger point is not protected. Supraorbital neuralgia is the trigger point for pain. Patients must protect the trigger points of the body. About 50% of the patients will have multiple or one sensitive trigger points around the eyelids. To, in turn, trigger a painful episode that is implicated in the body. These trigger points are mostly in the lips, nose, face, mouth, tongue or corner of the eye, so the patient should try to protect the trigger point during the illness.
3, pay attention to avoid cold, overwork, mental stimulation. Antipyretic analgesics can be used to relieve pain and Chinese medicine treatment.
Complication
Supraorbital neuropathy complications Complications, muscle atrophy, bacterial infection
Intracranial infection is a common complication in the treatment of supraorbital neuralgia, which causes severe intracranial infection during craniotomy or radiofrequency therapy. Patients with supraorbital neuralgia are mainly acute onset, and a few symptoms of supraorbital neuralgia are insidious attacks. According to the medical history, the clinical manifestations are different. The onset of supraorbital neuralgia can cause ipsilateral chewing, masseter muscle, diaphragm, pterygoid muscle, and pterygoid muscle spasm, affecting chewing movements. Eating food does not consciously fall from the side of the affected side of the supraorbital neuralgia and runny And other phenomena, severe supraorbital neuralgia patients can cause neuromuscular atrophy, affecting the appearance.
Symptom
Symptoms of supraorbital neuralgia Common symptoms Eyelid pain persistence in the eyelids, ... facial pain, neuralgia, forehead headache, forehead acupuncture pain or burning sensation
The onset is more acute, manifested as paroxysmal or persistent acupuncture-like pain or burning sensation on one or both sides of the forehead. It can also be accompanied by paroxysmal aggravation in the case of persistent pain. The notch has tenderness, and the supraorbital nerve distribution area (forehead) has flaky hyperalgesia or diminished.
Examine
Examination of supraorbital neuralgia
1. Laboratory examination has auxiliary significance for clinical diagnosis.
2. Evoked potentials.
3. Head CT and MRI.
Diagnosis
Diagnosis and differentiation of supraorbital neuralgia
diagnosis
According to the symptoms and signs can be diagnosed.
Differential diagnosis
Need to pay attention to the identification of sinusitis and trigeminal neuralgia.
