Supraorbital neuralgia is a rare disorder clinically characterized by the following triad: 1) forehead pain in the territory supplied by the supraorbital nerve, without side shift; 2) tenderness on either the supraorbital notch or traject of the nerve; and 3) absolute, but transitory relief of symptoms upon supraorbital nerve blockade. The pain presents with a chronic or intermittent pattern. In addition, there may be signs and symptoms of sensory dysfunction (hypoesthesia, paresthesia and allodynia), and typical "neuralgic features" (lightning pain and exteroceptive precipitating mechanisms). However, sensitive and neuralgic features are not constantly present and seem to be more frequent in the secondary, usually post-traumatic, forms.
Unable to display preview. Download preview PDF.
References and Recommended Reading
- 1.Headache Classification Committee of the International Headache Society: Classification and Diagnostic Criteria for Headache Disorders, Cranial Neuralgias, and Facial Pain, 2nd Edition. Cephalalgia 2004, 24(suppl 1):9–160. Diagnostic criteria for supraorbital neuralgia.Google Scholar
- 2.Sjaastad O, Stolt-Nielsen A, Pareja JA, Vincent M: Supraorbital neuralgia: the clinical manifestations and a possible therapeutic approach. Headache 1999, 39:204–212. Description of surgical exploration of the supraorbital notch and successful therapy by liberation of the nerve from tissue bands or bone excrescencies.PubMedCrossRefGoogle Scholar
- 4.Heyck H: Headache and Facial Pain. New York: G. Thieme Verlag; 1988.Google Scholar
- 6.Penas-Prado M, Martínez-Salio A, Porta-Etessam J, et al.: Neuralgia supraorbitaria postraumática: una entidad benigna. Neurología 2003, 18:556. Interesting description of the clinical features and good prognosis of a short series of post-traumatic supraorbital neuralgia.Google Scholar
- 17.Devor M: The pathophysiology of damaged peripheral nerves. In Textbook of Pain. Edited by Wall P, Melzack R. Edinburgh: Churchill Livingstone; 1994:79–100.Google Scholar
- 25.Lemke BN: Anatomy of ocular adnexa and orbit. In Ophthalmic Plastic and Reconstructive Surgery. Edited by Smith BC. St. Louis: Mosby; 1987:3–74.Google Scholar