Radiating pain in the pinna
Introduction
Introduction Some patients with cervical-transverse syndrome may have symptoms of auricular nerve involvement, mainly manifested as tinnitus, deafness, heavy hearing, etc., radiation pain around the auricle. Neck 1 transverse syndrome is a comprehensive disease in bone injury and spinal related diseases. The disease is a common disease, high incidence, and difficult disease in orthopedics. The patient's main manifestations were stiff neck, soft tissue nodules around the neck 1 transverse process and tenderness, accompanied by symptoms such as dizziness, tinnitus, and visual impairment. Due to the body position in the daily work activities of the human body, most of them are heavily involved in the left neck and the transverse process, and are often misdiagnosed as ENT and brain diseases in the clinic.
Cause
Cause
Caused by the involvement of nerve vessels.
Examine
an examination
Related inspection
Ear, nose, throat swab bacterial culture Otolaryngology CT examination
Neck 1 transverse syndrome In the clinical, all patients have neck discomfort, with neck 1 transverse soft tissue nodules with pain, accompanied by headache, dizziness and other symptoms. Symptoms vary depending on the degree of involvement of the neurovascular:
1. Pillow small nerve involvement: Some patients may have symptoms of occipital small nerve involvement, mainly manifested as radiation pain to the ankle.
2. Occipital nerve involvement: Some patients may have symptoms of occipital major nerve involvement, mainly manifested as pain in the posterior forehead of the occipital region and the top of the head.
3. Auricular nerve involvement: Some patients may have symptoms of auricular nerve involvement, mainly manifested as tinnitus, deafness, heavy hearing, etc., radiation pain around the auricle.
4. Sympathetic nerve involvement: Some patients may have sympathetic involvement symptoms, because the paraspinal sympathetic section is located in front of the cervical 1-2 transverse process, above the anterior vertebral fascia, when the neck 1 transverse process is involved, the patient can often stimulate the sympathetic ganglia Clinical symptoms such as sympathetic disorders, irritability and dreams, insomnia and other dreams may occur.
5. Vertebral artery involvement: Some patients may have symptoms of vertebral artery involvement. Because the vertebral artery bypasses the sacral vertebrae, there are two 90-degree bends. When the neck 1 is transversely convex, the vertebral artery can be compressed and paralyzed, causing the vertebrae. - Insufficient blood supply to the basilar artery and brain ischemia.
6. Paraneural involvement: a small number of patients may have symptoms of accessory nerve involvement, because the skull base vein is 2.5 cm deep from the anterior medial aspect of the humerus, and then the sternocleidomastoid deep front, middle upper 3/1 Then, wear out and walk through the deep 3/1 of the trapezius muscle. When the neck 1 transverse process has soft tissue injury or rotational displacement, the accessory nerve can be stimulated. Clinically, the patient's main performance is shrugging and turning. The motor function is weakened. When the accessory nerve is damaged, the muscle tension of one side of the trapezius muscle or the sternocleidomastoid muscle is decreased. In severe cases, muscle atrophy may occur.
7. Vagus nerve involvement: Some patients may have vagus nerve involvement, because the skull base vein hole is 2.5 cm deep from the anterior medial aspect of the humeral mastoid. When the neck 1 transverse process has soft tissue injury or rotational displacement, the vagus nerve can be stimulated. Therefore, the clinical manifestations of patients with symptoms of chest tightness, heartbeat and palpitation, known as cervical heart disease.
8. X-ray performance:
Zhangkou tablets: It can be seen that the occipital space varies from side to side, and the lateral part of the atlas is inconsistent.
Lateral slice: The gap of the ankle is narrowed.
Diagnosis
Differential diagnosis
Differential diagnosis of auricular radiation pain:
1, ear root pain: ear root pain can be seen in otitis media, oral tumors can also cause pain in the mouth, ear roots. Otitis media, also known as the "ear of the ear", initiates a disease, causing pain in the mind, and sometimes pus out of the ear. Although it is not a serious illness, it brings endless suffering.
2, auricular pain: the ear is very rich in sensory nerves, and is also associated with the nerves of adjacent organs, so in addition to the symptoms of the ear itself, earache may also be reflective ear pain in the disease of adjacent organs.
3, pain behind the ear: Many patients often have facial pain in the mastoid area before the appearance of facial paralysis.
