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Supraorbital Nerve Entrapment: Face

  • Rafael JustizEmail author

Abstract

Supraorbital neuralgia is an uncommon cause of face pain that presents with symptoms of unilateral or bilateral intermittent forehead with tenderness over the distribution of the supraorbital nerve. Occasionally, patients may present with other symptoms such as blurred vision, nausea, and photophobia, thus confusing the diagnosis with other syndromes such as migraine-type headaches, cluster headaches, or sinusitis. However, the most common causes are trauma to the forehead and fluid retention, leading to entrapment of the supraorbital nerve. Treatment varies and should be directed to the cause itself. Treatment involves removing the irritating stimulus, medications, local anesthetic blockade, neurolysis of the nerve, neuromodulation, and surgical decompression.

Keywords

Supraorbital nerve Supraorbital neuralgia Trigeminal neuralgia Neuropathic pain Post-herpetic neuralgia Nerve entrapment 

Supplementary material

Video 21.1

Physical exam of the supraorbital nerve (MOV 33642 kb)

Video 21.2

Landmark-guided injection of the supraorbital nerve (MOV 45745 kb)

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Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Department of Anesthesiology, Oklahoma Pain PhysiciansUniversity of Oklahoma Health Sciences CenterOklahoma CityUSA

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