[Diagnosis of facial pain: a clinical experience].
A sample of 228 patients with facial pain is reported in the present paper. Among them, 112 cases are typical idiopathic trigeminal neuralgias, 111 are cases of secondary facial pain (including 7 cases symptomatic trigeminal neuralgias) and 5 patients were classified as vascular facial pain. Among the 119 cases of clinically diagnosed trigeminal neuralgias there were 112 (94, 11%) with no evidence of organic cause. Only 7 cases (5.89%) were identified as organic, including 3 cases of bulbar and pontic vascular lesions, 2 cases of iatrogenic injuries following neurosurgery, 1 case of meningioma of the ponto-cerebellar angle and 1 case of neurosyphillis. The most frequent conditions that produce secondary facial pain were: miofacial pain syndrome, sinusitis, cervical vertebral lesions, post herpetic neuralgias, malignant head and neck tumours and encephalic vascular lesions of the pain pathway.
Ramirez
H
H
Martinez
C
C
Oliva
J
J
Montini
C
C
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005157:Facial Pain / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006258:Head and Neck Neoplasms / Q000175:diagnosis; D006801:Humans; D006973:Hypertension / Q000150:complications; D008297:Male; D008875:Middle Aged; D012852:Sinusitis / Q000175:diagnosis; D013706:Temporomandibular Joint Dysfunction Syndrome / Q000175:diagnosis; D014277:Trigeminal Neuralgia / Q000175:diagnosis* / Q000209:etiology
Diagnostico de algias faciales: una experiencia clinica.