A case of facial myofascial pain syndrome presenting as trigeminal neuralgia.
Facial pain has many causes, including idiopathic factors, trigeminal neuralgia, dental problems, temporomandibular joint disorders, cranial abnormalities, and infections. However, the clinical diagnosis of facial pain is sometimes difficult to establish because clinical manifestations commonly overlap. The diagnosis of trigeminal neuralgia is based solely on clinical findings. Therefore, a careful evaluation of the patient history and a thorough physical examination are essential. This case describes a patient with facial myofascial pain syndrome involving the right zygomaticus, orbicularis oculi, and levator labii muscles, which presented as trigeminal neuralgia.
Yoon
Seung Zhoo
SZ
Department of Anesthesiology and Pain Medicine, College of Medicine, Korea University, Seoul, Korea.
Lee
Sang Ik
SI
Choi
Sung Uk
SU
Shin
Hye Won
HW
Lee
Hye Won
HW
Lim
Hae Ja
HJ
Chang
Seong Ho
SH
D000369:Aged, 80 and over; D000779:Anesthetics, Local / Q000008:administration & dosage; D003937:Diagnosis, Differential; D005152:Facial Muscles / Q000503:physiopathology*; D005157:Facial Pain / Q000209:etiology* / Q000628:therapy; D005260:Female; D006801:Humans; D007273:Injections, Intramuscular; D008012:Lidocaine / Q000008:administration & dosage; D008405:Massage; D009209:Myofascial Pain Syndromes / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D014277:Trigeminal Neuralgia / Q000175:diagnosis*
D000779:Anesthetics, Local; D008012:Lidocaine