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Persistent Idiopathic Facial Pain
Author(s) -
Evans Randolph W.,
Agostoni Elio
Publication year - 2006
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.2006.00541.x
Subject(s) - citation , art history , medicine , art , library science , computer science
CLINICAL HISTORY A 57-year-old woman was seen for a third neurological opinion with a 1 to 1 2 year history of facial pain. She described a dull ache or burning around the medial canthus of the left eye, the left side of the nose, the left naso-labial fold, and the left side of the lip. The pain typically started about 8 AM and had an intensity of 9/10 all day. Amitriptiline, nortriptyline, gabapentin, zonisimide, levetiracetam, duloxetine, and tramadol all in moderate-to-high doses have proven ineffective. Hydrocodone, it was reported, moderately decreased the pain. A left upper molar extraction did not help. Cryoablation of the left infraorbital nerve was of no benefit. An MRI scan of the brain with and without contrast was normal including views of the trigeminal