Lacrimal neuralgia: So far, a missing cranial neuralgia

Pareja, Juan A.; Cuadrado, María‐Luz

doi:10.1177/0333102413488000

Cited by 24 publications

(23 citation statements)

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“…Our literature search identified only one article involving lacrimal nerve block (Pareja and Cuadrado 2013). It was used as diagnostic test for what is called lacrimal neuralgia.…”

Section: Discussionmentioning

confidence: 99%

Ophthalmic branch radiofrequency thermocoagulation for atypical trigeminal neuralgia:a case report

et al. 2015

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BackgroundTrigeminal neuralgia is an intense neuralgia involving facial areas supplied by trigeminal nerve. The pain is characterized by sudden onset, short persistence, sharp or lancinating. Trigeminal neuralgia commonly affects frontal areas, infraorbital or paranasal areas, mandibular areas and teeth. While Trigeminal neuralgia affecting merely the upper eyelid is rare. Here we report a case of atypical Trigeminal neuralgia confined to the upper eyelid. The patient was pain free during the follow-up period of 6 months after unusual ophthalmic branch radiofrequency thermocoagulation.Case presentationA 55-year-old female patient was diagnosed as primary trigeminal neuralgia involving the right upper eyelid. As the pain could not be controlled by drug therapy, peripheral nerve branch radiofrequency thermocoagulation was recommended. A combination of infratrochlear, supratrochlear and lacrimal radiofrequency thermocoagulation was implemented in this case. The point where the bridge of the nose abuts the supraorbital ridge and the point slightly above the lateral canthus along outer border of the orbit were selected respectively as the puncture sites. After positive diagnostic test, radiofrequency thermocoagulation of the above-mentioned nerve branches was performed respectively. The patient was pain free immediately after the treatment and during the follow-up period of 6 months.DiscussionTrigeminal neuralgia is a common severe and chronic facial neuralgia which requires accurate diagnosis and effective therapy. With typical clinical symptoms, normal neurological signs, normal CT and MRI findings, the patient was diagnosed as classic trigeminal neuralgia. As the patient was drug resistant, some invasive treatments were considered. Peripheral branch neurolysis was chosen for its minimal invasiveness, convenience, low risk and not affecting further invasive treatments. According to the anatomic data and the diagnostic test results, infratrochlear, supratrochlear and lacrimal nerve were responsible, therefore, an unusual combination of infratrochlear, supratrochlear, and lacrimal radiofrequency thermocoagulation was implemented for this patient.ConclusionsRadiofrequency thermocoagulation is an effective treatment option for trigeminal neuralgia. Peripheral branch radiofrequency thermocoagulation for trigeminal neuralgia should be considered preferentially due to its minimal invasiveness and convenience. Furthermore, as the sensory innervation of the upper eyelid is complex, the knowledge of peripheral distribution of trigeminal nerve is essential.

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“…Our literature search identified only one article involving lacrimal nerve block (Pareja and Cuadrado 2013). It was used as diagnostic test for what is called lacrimal neuralgia.…”

Section: Discussionmentioning

confidence: 99%

Ophthalmic branch radiofrequency thermocoagulation for atypical trigeminal neuralgia:a case report

et al. 2015

SpringerPlus

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“…Dear Sir, Lacrimal neuralgia has been recently described as a cause of orbital and periorbital pain (1). The two previously reported patients had continuous pain in the territory of the lacrimal nerve: one of them felt the pain in the lateral aspect of her left superior eyelid and an adjacent area of the temple, while the other localized her pain to a small area of her left temple.…”

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confidence: 99%

A new lacrimal neuralgia, a new nerve blockade procedure

et al. 2014

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“…[1][2][3] The main demographic and clinical characteristics of all cases described previously and the three cases reported here are shown in Table 1. It was first described in 2013 1 and only four cases have been communicated so far.…”

Section: Discussionmentioning

confidence: 99%

“…Lacrimal neuralgia is a rare disorder clinically characterized by: (1) pain in the territory supplied by the lacrimal nerve at the lateral upper eyelid and/or the adjacent area of the temple, (2) tenderness on palpation of the lacrimal nerve at the superoexternal angle of the orbit, and (3) temporary or persistent pain relief on anesthetic block of the lacrimal nerve. The pain presents with a continuous or intermittent pattern and may be associated with signs and symptoms of sensory dysfunction.…”

mentioning

confidence: 99%