scholarly journals Referred Trigeminal Facial Pain from Occipital Neuralgia Occurring Much Earlier than Occipital Neuralgia

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Byung-chul Son
Keyword(s):  
Facial Pain ◽  
Rare Case ◽  
Clinical Manifestations ◽  
Temporal Region ◽  
Occipital Neuralgia ◽  
Trigeminal Pain ◽  
Neuralgic Pain ◽  
Greater Occipital Nerve ◽  
Auriculotemporal Neuralgia ◽  
Trigeminal Region

We report a very rare case in which a patient believed to have auriculotemporal neuralgia due to the repeated recurrence of paroxysmal stabbing pain in the preauricular temporal region for four years developed occipital neuralgia, which finally improved with decompression of the greater occipital nerve (GON). The pain of occipital neuralgia has been suggested to be referred to the frontoorbital (V1) region through trigeminocervical interneuronal connections in the trigeminal spinal nucleus. However, the reports of such cases are very rare. In occipital neuralgia, the pain referred to the ipsilateral facial trigeminal region reportedly also occurs in the V2 and V3 distributions in addition to that in the V1 region. In the existing cases of referred trigeminal pain from occipital neuralgia, continuous aching pain is usually induced, but in the present case, typical neuralgic pain was induced and diagnosed as idiopathic auriculotemporal neuralgia. In addition, recurrent trigeminal pain occurred for four years before the onset of occipital neuralgia. If the typical occipital neuralgia did not develop in four years, it would be impossible to infer an association with the GON. This case shows that the clinical manifestations of referred trigeminal pain caused by the sensitization of the trigeminocervical complex by chronic entrapment of the GON can be very diverse.

scholarly journals V2 Trigeminal Referred Pain from Chronic Occipital Neuralgia Caused by Entrapment of the Greater Occipital Nerve

2019 ◽  
Vol 08 (01) ◽  
pp. 076-080 ◽  
Author(s):  
Chang-ik Lee ◽  
Byung-chul Son
Keyword(s):  
Female Patient ◽  
Afferent Input ◽  
Referred Pain ◽  
Occipital Neuralgia ◽  
Upper Lip ◽  
Occipital Nerve ◽  
Burning Pain ◽  
Trigeminal Pain ◽  
Greater Occipital Nerve ◽  
New Onset

AbstractAlthough entrapment of the greater occipital nerve (GON) is a well-known cause of occipital neuralgia, occurrence of referred hemifacial trigeminal pain involving V2 distribution from chronic occipital neuralgia is rare. A 67-year-old female patient with intermittent left-sided occipital neuralgia of 10-year duration presented with a new onset of left-sided hemifacial pain of 5-month duration. With aggravation of left-sided occipital neuralgia, continuous burning pain and paresthesia gradually developed in her left malar and periorbital area. They also spread to her left upper lip. Severe compression of the left GON by tendinous aponeurotic attachment of the trapezius was found intraoperatively. Decompression of the left GON from chronic entrapment resulted in immediate relief for her hemifacial pain and chronic occipital neuralgia. These findings provide clinical affirmation of the existence of trigeminal/cervical convergence and hypersensitivity. Chronic irritating afferent input of occipital neuralgia caused by entrapment of the GON seems to be associated with sensitization and hypersensitivity of the second-order neurons in the trigeminocervical complex receiving convergent input from dural and cervical structures. Referred trigeminal pain from chronic occipital neuralgia may extend to V2 in addition to V1 trigeminal distribution.

scholarly journals Extraskeletal Ewing Sarcoma: Report of an Extremely Rare Case in Temporal Region

2019 ◽  
Author(s):  
Shahryar Bashiri ◽  
Hossein Heidar ◽  
Milad Parvin
Keyword(s):  
Ewing Sarcoma ◽  
Rare Case ◽  
Clinical Manifestations ◽  
Neck Region ◽  
Temporal Region ◽  
Head And Neck Region ◽  
Histological Characteristics ◽  
Low Prevalence ◽  
Extraskeletal Ewing Sarcoma ◽  
Uncommon Tumor

Extraskeletal Ewing sarcoma (EES) is an uncommon tumor with low prevalence in the head and neck region. Herein, we report a 13-year-old boy with EES in the temporal region, which was managed by surgery and chemotherapy. The histological characteristics and the clinical manifestations of the lesion and our surgical approach will be discussed as well.

scholarly journals Hemifacial Pain and Hemisensory Disturbance Referred from Occipital Neuralgia Caused by Pathological Vascular Contact of the Greater Occipital Nerve

2017 ◽  
Vol 2017 ◽  
pp. 1-5 ◽  
Author(s):  
Byung-chul Son ◽  
Jin-gyu Choi
Keyword(s):  
Facial Pain ◽  
Afferent Input ◽  
Occipital Artery ◽  
Occipital Neuralgia ◽  
Unique Case ◽  
Occipital Nerve ◽  
Sensory Change ◽  
Greater Occipital Nerve ◽  
Upper Cervical ◽  
Stimulation Of

Here we report a unique case of chronic occipital neuralgia caused by pathological vascular contact of the left greater occipital nerve. After 12 months of left-sided, unremitting occipital neuralgia, a hypesthesia and facial pain developed in the left hemiface. The decompression of the left greater occipital nerve from pathological contacts with the occipital artery resulted in immediate relief for hemifacial sensory change and facial pain, as well as chronic occipital neuralgia. Although referral of pain from the stimulation of occipital and cervical structures innervated by upper cervical nerves to the frontal head of V1 trigeminal distribution has been reported, the development of hemifacial sensory change associated with referred trigeminal pain from chronic occipital neuralgia is extremely rare. Chronic continuous and strong afferent input of occipital neuralgia caused by pathological vascular contact with the greater occipital nerve seemed to be associated with sensitization and hypersensitivity of the second-order neurons in the trigeminocervical complex, a population of neurons in the C2 dorsal horn characterized by receiving convergent input from dural and cervical structures.

Hemifacial Trigeminal Pain Referred from Occipital Neuralgia Due to Compression of the Greater Occipital Nerve by the Occipital Artery

2018 ◽  
Vol 79 (05) ◽  
pp. 442-446 ◽  
Author(s):  
Hak-cheol Ko ◽  
Jin-gyu Choi ◽  
Byung-chul Son
Keyword(s):  
Spatial Relationship ◽  
Occipital Artery ◽  
Occipital Neuralgia ◽  
Occipital Nerve ◽  
Trigeminal Pain ◽  
Nociceptive Pathways ◽  
Greater Occipital Nerve ◽  
Subcutaneous Layer ◽  
High Cervical ◽  
Crossing Point

Although pathologic vascular contact between the occipital artery and the greater occipital nerve (GON) at the crossing point in the nuchal subcutaneous layer can cause occipital neuralgia, referred hemifacial trigeminal pain from chronic occipital neuralgia owing to this cause is extremely rare.A 61-year-old female patient with left-sided occipital neuralgia for 4 years presented with a new onset of left-sided hemifacial pain. Decompression of the left GON from pathologic contacts with the occipital artery resulted in immediate relief for hemifacial pain and chronic occipital neuralgia. The present case implies that sensitization and hyperactivity of the trigeminocervical complex that receives the convergent input from trigeminal and high cervical occipital nociceptive pathways can be a pathogenic mechanism in referred hemifacial pain from occipital neuralgia. In the present case, a branching tributary of the occipital artery at the crossing point forming a constricting loop above the course of the GON was found to be the cause of entrapment. Because the occipital artery is reported to be consistently located superficial to the GON at the crossing point, a spatial relationship between the occipital artery and the GON rather than a mere adhesion or contact might have pathologic significance in the development of occipital neuralgia.

scholarly journals Occipital neuralgia in lung carcinoma: A rare clinical scenario case report

2018 ◽  
Vol 24 (1) ◽  
pp. 10-11 ◽  
Author(s):  
Sovan Dhar ◽  
Rajendra Sahoo ◽  
Zulfuqur Khan ◽  
Majumdar Das ◽  
Dillip Parida
Keyword(s):  
Lung Carcinoma ◽  
Rare Case ◽  
Chemotherapy Regimen ◽  
Temporal Region ◽  
Occipital Neuralgia ◽  
Occipital Region ◽  
Chemotherapeutic Drug ◽  
Cause Of Pain ◽  
Combination Chemotherapy Regimen

Occipital neuralgia is an uncommon cause of pain over occipital region. When occipital nerves are affected due to osteogenic / vasculogenic / neurogenic causes it is manifested as a sharp shooting or stabbing type of pain over the occipital region of scalp, often progressing to involve the vertex and the temporal region as well. Use and withdrawal of variety of drugs result in headache. The role of any chemotherapeutic drug, as a causative agent for occipital neuralgia, has not been described in literature so far. We are reporting a rare case of occipital neuralgia precipitated while on combination chemotherapy regimen in lung carcinoma.

scholarly journals Upbeat vertical nystagmus after brain stem cavernoma resection: a rare case of nucleus intercalatus/nucleus of roller injury

2020 ◽  
Vol 267 (10) ◽  
pp. 2865-2870
Author(s):  
Torstein R. Meling ◽  
Aria Nouri ◽  
Adrien May ◽  
Nils Guinand ◽  
Maria Isabel Vargas ◽  
...  
Keyword(s):  
Rare Case ◽  
Vascular Malformations ◽  
Clinical Manifestations ◽  
Neurological Injury ◽  
Medial Longitudinal Fasciculus ◽  
Blurred Vision ◽  
Complete Excision ◽  
First Case ◽  
Vertical Nystagmus ◽  
Upbeat Nystagmus

Abstract Introduction CNS cavernomas are a type of raspberry-shaped vascular malformations that are typically asymptomatic, but can result in haemorrhage, neurological injury, and seizures. Here, we present a rare case of a brainstem cavernoma that was surgically resected whereafter an upbeat nystagmus presented postoperatively. Case report A 42-year old man presented with sudden-onset nausea, vomiting, vertigo, blurred vision, marked imbalance and difficulty swallowing. Neurological evaluation showed bilateral ataxia, generalized hyperreflexia with left-sided predominance, predominantly horizontal gaze evoked nystagmus on right and left gaze, slight left labial asymmetry, uvula deviation to the right, and tongue deviation to the left. MRI demonstrated a 13-mm cavernoma with haemorrhage and oedema in the medulla oblongata. Surgery was performed via a minimal-invasive, midline approach. Complete excision was confirmed on postoperative MRI. The patient recovered well and became almost neurologically intact. However, he complained of mainly vertical oscillopsia. The videonystagmography revealed a new-onset spontaneous upbeat nystagmus in all gaze directions, not suppressed by fixation. An injury of the rarely described intercalatus nucleus/nucleus of Roller is thought to be the cause. Conclusion Upbeat nystagmus can be related to several lesions of the brainstem, including the medial longitudinal fasciculus, the pons, and the dorsal medulla. To our knowledge, this is the first case of an iatrogenic lesion of the nucleus intercalatus/nucleus of Roller resulting in an upbeat vertical nystagmus. For neurologists, it is important to be aware of the function of this nucleus for assessment of clinical manifestations due to lesions within this region.

Malignant Eccrine Spiroadenoma of Right Temporal region: Reporting of a Rare Case

2021 ◽  
Author(s):  
Resham Srivastava ◽  
Naseem Akhtar ◽  
Puneet Prakash ◽  
Kirti Srivastava
Keyword(s):  
Rare Case ◽  
Temporal Region

scholarly journals An alien in the gallbladder. A rare case of biliary ascariasis in an Italian emergency department

2016 ◽  
Vol 1 (1) ◽  
Author(s):  
Enrico Ferri ◽  
Angelo Ianni ◽  
Laura Magrini ◽  
Salvatore Di Somma
Keyword(s):  
Rare Case ◽  
Clinical Manifestations ◽  
Intestinal Lumen ◽  
Emergency Setting ◽  
Abdominal Ultrasonography ◽  
Biliary Ascariasis ◽  
Radiologic Findings ◽  
Perforation Peritonitis ◽  
Sanitary Conditions ◽  
Common Infection

Ascariasis is a common infection in many developing countries. The prevalence of ascariasis is related to poverty, poor hygienic and sanitary conditions. The adult form of <em>Ascaris lumbricoides</em> usually resides in the human intestinal lumen (more frequently in the jejunum and middle ileum) and does not cause symptoms. However, it can occasionally cause severe complications such as intestinal obstruction or perforation peritonitis. Its migration into the biliary tract is not uncommon but gallbladder involvement is very rare. Abdominal ultrasonography is essential to detect the presence of this parasite. In this article, we describe the radiologic findings, clinical manifestations and successful medical treatment of a patient with gallbladder ascariasis diagnosed in an emergency setting.

Greater Occipital Nerve Decompression for Occipital Neuralgia

2018 ◽  
Vol 29 (5) ◽  
pp. e518-e521 ◽  
Author(s):  
Anson Jose ◽  
Shakil Ahmed Nagori ◽  
Probodh K. Chattopadhyay ◽  
Ajoy Roychoudhury
Keyword(s):  
Occipital Neuralgia ◽  
Occipital Nerve ◽  
Nerve Decompression ◽  
Greater Occipital Nerve

Trismus and TMJ disorders as first clinical manifestations in an intracranial acquired cholesteatoma

2021 ◽  
Vol 14 (5) ◽  
pp. e242460
Author(s):  
Chiara Copelli ◽  
Domenico Catapano ◽  
Alfonso Manfuso ◽  
Aurelio d’Ecclesia
Keyword(s):  
Hearing Loss ◽  
Temporomandibular Joint ◽  
Otitis Media ◽  
Rare Case ◽  
Clinical Manifestations ◽  
Chronic Otitis Media ◽  
Temporomandibular Joint Disorders ◽  
Intracranial Extension ◽  
Rare Occurrence ◽  
Acquired Cholesteatoma

Intracranial extension of acquired cholesteatoma is a rare occurrence that can develop secondary to trauma, chronic otitis media or acquired aural cholesteatoma. The most commonly observed symptoms are headache and hearing loss. The authors report on a rare case of intracranial cholesteatoma presenting with atypic symptoms: swelling and temporomandibular joint disorders.

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