title: Idiopathic ophthalmodynia and idiopathic rhinalgia: two topographic facial pain syndromes.
abstract: OBJECTIVE
  To describe 2 topographic facial pain conditions with the pain clearly localized in the eye (idiopathic ophthalmodynia) or in the nose (idiopathic rhinalgia), and to propose their distinction from persistent idiopathic facial pain.
  
  
  BACKGROUND
  Persistent idiopathic facial pain, burning mouth syndrome, atypical odontalgia, and facial arthromyalgia are idiopathic facial pain syndromes that have been separated according to topographical criteria. Still, some other facial pain syndromes might have been veiled under the broad term of persistent idiopathic facial pain.
  
  
  METHODS
  Through a 10-year period we have studied all patients referred to our neurological clinic because of facial pain of unknown etiology that might deviate from all well-characterized facial pain syndromes.
  
  
  RESULTS
  In a group of patients we have identified 2 consistent clinical pictures with pain precisely located either in the eye (n=11) or in the nose (n=7). Clinical features resembled those of other localized idiopathic facial syndromes, the key differences relying on the topographic distribution of the pain.
  
  
  CONCLUSIONS
  Both idiopathic ophthalmodynia and idiopathic rhinalgia seem specific pain syndromes with a distinctive location, and may deserve a nosologic status just as other focal pain syndromes of the face. Whether all such focal syndromes are topographic variants of persistent idiopathic facial pain or independent disorders remains a controversial issue.
authors.affiliation: Department of Neurology, Quirón Madrid Hospital, Madrid, Spain.
authors.forename: Juan A
authors.initials: JA
authors.lastname: Pareja
authors.forename: María L
authors.initials: ML
authors.lastname: Cuadrado
authors.forename: Jesús
authors.initials: J
authors.lastname: Porta-Etessam
authors.forename: César
authors.initials: C
authors.lastname: Fernández-de-las-Peñas
authors.forename: Pablo
authors.initials: P
authors.lastname: Gili
authors.forename: Ana B
authors.initials: AB
authors.lastname: Caminero
authors.forename: José L
authors.initials: JL
authors.lastname: Cebrián
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D058447:Eye Pain / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology*; D005156:Facial Neuralgia / Q000145:classification / Q000175:diagnosis* / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009668:Nose Diseases / Q000175:diagnosis* / Q000209:etiology / Q000503:physiopathology*; D010147:Pain Measurement / Q000379:methods; D013577:Syndrome; D055815:Young Adult