Supraorbital Nerve Entrapment

Justiz, Rafael; Trescot, Andrea M.

doi:10.1007/978-3-319-27482-9_14

Cited by 3 publications

(6 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Apart from clinical manifestations associated with CN V neuropathy, there were no deficits associated with CN III and CN IV, despite the mild mass effect noted on the lateral walls of the cavernous sinus on MRI. Interestingly, mild hypertrophy of the mandibular divisions of the trigeminal nerve did not result in clinical manifestations such as mastication deficits 6. The brisk peripheral reflexes appear to be a diagnostic red herring given the relatively unremarkable spinal imaging and normal electromyography and motor nerve conduction tests.…”

Section: Discussionmentioning

confidence: 89%

“…Bilateral sensory deficits in the maxillary distribution of her face corresponded with hypertrophic irregularities of the maxillary nerves and their respective branches. The ‘squelching’ sensation and supraorbital pain, particularly on the left side, are likely due to the enlargement and subsequent compression of the supraorbital nerves as they exit the supraorbital foramen 6. Pain on adduction and elevation is also likely due to the compression of the enlarged ophthalmic nerves and their branches by surrounding extraconal structures.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Idiopathic hypertrophic cranial polyneuropathy: a rare cause of orbital pain

Raj¹,

Kumar

et al. 2021

BMJ Case Rep

View full text Add to dashboard Cite

Hypertrophic cranial polyneuropathy (HCP) is sporadically encountered in clinical practice. Aetiologies of HCP have been classified as autoimmune, infectious and demyelinating. However, an accurate diagnosis remains elusive in some cases despite rigorous investigations. These cases represent idiopathic HCP. Given the high clinical variance in presenting symptoms, HCP often leaves medical practitioners in a diagnostic quandary. Here, we seek to expand current knowledge by reporting the first documented case of idiopathic HCP presenting atypically with unilateral orbital pain and exclusively involving the bilateral trigeminal nerves.

show abstract

Section: Discussionmentioning

confidence: 89%

Section: Discussionmentioning

confidence: 99%

Idiopathic hypertrophic cranial polyneuropathy: a rare cause of orbital pain

Raj¹,

Kumar

et al. 2021

BMJ Case Rep

View full text Add to dashboard Cite

show abstract

“…(1) SON & ATN entrapment occurs with an incidence of 4% & 0.4% and is characterized by pain in the nerve's territory and tenderness in the Supraorbital notch. (2,3) It can however, present with atypical manifesta ons that can mimic migraines and may lead to difficulty when differen a ng them from other types of headaches. Nerve block and hydrodissec on using local anesthe cs can aid in diagnosing the entrapment.…”

Section: Introductionmentioning

confidence: 99%

Supraorbital and Auriculotemporal Nerve Entrapment: A Lesser-Known Cause of headache mimicking Migraine-like Symptoms

Rayamajhi,

Bhattarai

2023

Birat J. Health Sci.

View full text Add to dashboard Cite

Extracranial headaches, although not rare, can be a significant contributor to chronic headaches, affecting approximately 4% of individuals. Among the potential causes of these headaches, entrapment neuropathy in the facial area is a prominent factor, with supraoptic nerve entrapment being a leading cause. The resulting pain typically manifests in the frontal forehead regions that are innervated by this nerve. Ultrasound-guided supraoptic nerve interventions serve a dual purpose, acting as both a diagnostic tool and a therapeutic measure, offering valuable benefits in managing this condition.

show abstract

“…7,[12][13][14] For some patients, supraorbital nerve block using local anaesthetics with or without glucocorticoids can provide pain relief, but multiple injections are often required. 8,13,15 For patients with supraorbital neuralgia who have failed to respond to conservative treatments, some neurologically damaging procedures (chemical neurolysis, 16 surgical resection of the supraorbital nerve, 17 cryoneuroablation, 18 and radiofrequency thermocoagulation 19 ) or non-destructive procedures (surgical decompression of the supraorbital nerve, 20 peripheral nerve stimulation, 21 and pulsed radiofrequency 22 ) may be alternative treatments. However, clinical research data are quite rare, and there is no general agreement regarding the standard treatment protocol for supraorbital neuralgia.…”

Section: Introductionmentioning

confidence: 99%

“…Unlike pulsed radiofrequency, radiofrequency thermocoagulation is a neurologically damaging procedure that is often used to treat trigeminal neuralgia. 27 Radiofrequency thermocoagulation has been reported as a treatment for supraorbital neuralgia; 13,19 however, there is little literature on this subject. As a percutaneous interventional technique, radiofrequency thermocoagulation for supraorbital neuralgia is easier to perform than surgical decompression or resection and peripheral nerve stimulation; additionally, it involves less trauma and a lower cost.…”

Section: Introductionmentioning

confidence: 99%

<p>Treatment of Supraorbital Neuralgia Using Ultrasound-Guided Radiofrequency Thermocoagulation of the Supraorbital Nerve: A Retrospective Study</p>

Ren¹,

Shen²,

Luo³

2020

JPR

View full text Add to dashboard Cite

These authors contributed equally to this workPurpose: There is no standard clinical treatment protocol for supraorbital neuralgia patients who respond poorly to conservative treatment. Radiofrequency thermocoagulation, a neurologically damaging procedure, is a treatment for supraorbital neuralgia. However, assessments of its longterm efficacy are lacking. Thus, this study aimed to evaluate the long-term efficacy and safety of ultrasound-guided radiofrequency thermocoagulation for treating supraorbital neuralgia. Patients and Methods: We retrospectively reviewed our clinical database for supraorbital neuralgia patients who underwent an ultrasound-guided radiofrequency thermocoagulation procedure. Demographic data and baseline characteristics, time of onset, postoperative pain intensity, time of recurrence, subsequent treatment, complications and side effects were collected and analysed. The Kaplan-Meier estimator was used to determine recurrence-free survival. Results: A total of 53 supraorbital neuralgia patients were included in this study. All patients experienced complete pain relief within one month. The median follow-up time of the 53 patients was 36.0 months (IQR, 12.0-72.0 months). A total of 13 patients experienced pain recurrence, with a median recurrence-free time of 97 months according to the Kaplan-Meier estimator. The cumulative proportion of recurrence-free survival was 96.2% at 12 months, 88.4% at 24 months, 82.7% at 36 months, 70.0% at 48 months, 66.3% at 60 months, and 49.7% at 97 months. All but one patient with recurrent pain underwent a second or third radiofrequency thermocoagulation procedure and achieved complete pain relief. Numbness of supraorbital nerve innervation occurred in all patients. However, the numbness scores gradually decreased over time. Conclusion: Ultrasound-guided radiofrequency thermocoagulation is a safe, effective treatment for supraorbital neuralgia patients who respond poorly to conservative treatments. These patients attained excellent long-term pain relief with a gradual reduction in numbness.

show abstract

Supraorbital Nerve Entrapment

Cited by 3 publications

References 37 publications

Idiopathic hypertrophic cranial polyneuropathy: a rare cause of orbital pain

Idiopathic hypertrophic cranial polyneuropathy: a rare cause of orbital pain

Supraorbital and Auriculotemporal Nerve Entrapment: A Lesser-Known Cause of headache mimicking Migraine-like Symptoms

<p>Treatment of Supraorbital Neuralgia Using Ultrasound-Guided Radiofrequency Thermocoagulation of the Supraorbital Nerve: A Retrospective Study</p>

Contact Info

Product

Resources

About