Posttraumatic mid-facial pain and Meige's syndrome relieved by pressure on the nasion and retrocollis.
A 42-year-old farmer developed persistent mid-facial segmental pain and Meige's syndrome several months after suffering facial trauma and a fracture of the nose. He was not afflicted by systemic ailments, had no family history of movement disorder and no history of exposure to neuroleptic drugs. He was capable of suppressing his facial pain by performing a ritual that included forcefully tilting his head backwards, lowering of his eyelids and applying strong pressure to his nasion. Exceptionally dystonic movements and elaborate behavioral rituals may serve as a mechanism of pain suppression.
Jacome
Daniel E
DE
Dartmouth Hitchcock Medical Center, Department of Neurology, Lebanon, NH, USA. dejacome@verizon.net
D000328:Adult; D002908:Chronic Disease; D005157:Facial Pain / Q000209:etiology* / Q000628:therapy*; D050723:Fractures, Bone / Q000150:complications; D019416:Head Movements / Q000502:physiology; D006801:Humans; D008297:Male; D008446:Maxillofacial Injuries / Q000150:complications*; D008538:Meige Syndrome / Q000209:etiology* / Q000628:therapy*; D009295:Nasal Bone / Q000293:injuries*; D009460:Neurologic Examination; D011312:Pressure; D014057:Tomography, X-Ray Computed; D017211:Treatment Failure