Facial Pain: A Comprehensive Review and Proposal for a Pragmatic Diagnostic Approach

被引:12
作者
Van Deun, Laura [1 ,2 ]
de Witte, Muriel [1 ,3 ]
Goessens, Thais [1 ,3 ]
Halewyck, Stijn [1 ,4 ]
Ketelaer, Marie-Christine [1 ]
Matic, Milica [1 ,5 ]
Moens, Maarten [1 ,6 ]
Vaes, Peter [1 ,7 ]
Van Lint, Michel [1 ,8 ]
Versijpt, Jan [1 ,2 ]
机构
[1] Vrije Univ Brussel VUB, Univ Ziekenhuis Brussel UZ Brussel, Headache & Facial Pain Clin, Brussels, Belgium
[2] Vrije Univ Brussel VUB, Univ Ziekenhuis Brussel UZ Brussel, Dept Neurol, Brussels, Belgium
[3] Vrije Univ Brussel VUB, Univ Ziekenhuis Brussel UZ Brussel, Dept Clin Psychol, Brussels, Belgium
[4] Vrije Univ Brussel VUB, Univ Ziekenhuis Brussel UZ Brussel, Dept Otorhinolaryngol, Brussels, Belgium
[5] Vrije Univ Brussel VUB, Univ Ziekenhuis Brussel UZ Brussel, Dept Anesthesiol, Brussels, Belgium
[6] Vrije Univ Brussel VUB, Univ Ziekenhuis Brussel UZ Brussel, Dept Neurosurg, Brussels, Belgium
[7] Vrije Univ Brussel VUB, Dept Manual Therapy, Brussels, Belgium
[8] Vrije Univ Brussel VUB, Univ Ziekenhuis Brussel UZ Brussel, Dept Ophthalmol, Brussels, Belgium
关键词
Facial pain; Cranial neuralgia; Trigeminal neuralgia; Classification; Persistent idiopathic facial pain; GIANT-CELL ARTERITIS; UNILATERAL NEURALGIFORM HEADACHE; BURNING MOUTH SYNDROME; TEMPOROMANDIBULAR DISORDERS; TRIGEMINAL NEURALGIA; MICROVASCULAR DECOMPRESSION; CERVICOGENIC HEADACHE; CONJUNCTIVAL INJECTION; MULTIPLE-SCLEROSIS; OROFACIAL PAIN;
D O I
10.1159/000505727
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Background: Facial pain, alone or combined with other symptoms, is a frequent complaint. Moreover, it is a symptom situated at, more than any other pain condition, a crosspoint where several disciplines meet, for example, dentists; manual therapists; ophthalmologists; psychologists; and ear-nose-throat, pain, and internal medicine physicians besides neurologists and neurosurgeons. Recently, a new version of the most widely used classification system among neurologists for headache and facial pain, the International Classification of Headache Disorders, has been published. Objective: The aims of this study were to provide an overview of the most prevalent etiologies of facial pain and to provide a generic framework for the neurologist on how to manage patients presenting with facial pain. Methods: An overview of the different etiologies of facial pain is provided from the viewpoint of the respective clinical specialties that are confronted with facial pain. Key message: Caregivers should "think outside their own box" and refer to other disciplines when indicated. If not, a correct diagnosis can be delayed and unnecessary treatments might be given. The presented framework is aimed at excluding life- or organ-threatening diseases, providing several clinical clues and indications for technical investigations, and ultimately leading to the correct diagnosis and/or referral to other disciplines.
引用
收藏
页码:5 / 16
页数:12
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