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What is Sluder's neuralgia?

S H Ahamed¹, N S Jones

¹Department of Otorhinolaryngology, University Hospital, Nottingham, UK.

The Journal of Laryngology and Otology

|June 24, 2003

Summary

Sluder's neuralgia, a condition described in 1908, is likely a form of neurovascular headache, similar to cluster headaches. The term should be abandoned due to inconsistent descriptions and misdiagnosis, causing significant confusion in facial pain classification.

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Area of Science:

Neurology
Pain Medicine
Headache Classification

Background:

Sluder described a syndrome in 1908 attributed to the sphenopalatine ganglion, involving neuralgic, motor, sensory, and gustatory symptoms.
Subsequent reports of sphenopalatine neuralgia have varied in symptom description and patient selection criteria, deviating from Sluder's original observations.
Claims of successful treatment often lacked adequate follow-up duration, contributing to diagnostic ambiguity.

Purpose of the Study:

To analyze Sluder's original description of sphenopalatine neuralgia.
To evaluate the condition in light of current understanding of facial pain mechanisms.
To propose a reclassification of Sluder's described syndrome.

Main Methods:

Literature review of Sluder's original work and subsequent reports on sphenopalatine neuralgia.
Comparative analysis of clinical manifestations and proposed etiologies.
Correlation with current diagnostic criteria for facial pain syndromes and headaches.

Main Results:

Significant variability exists in reported symptoms and treatment outcomes for sphenopalatine neuralgia.
Sluder's original description shares key features with neurovascular headaches, particularly cluster headaches.
The term 'Sluder's neuralgia' is considered problematic due to its flawed original description and widespread misuse.

Conclusions:

The condition originally described by Sluder is proposed to be a neurovascular headache, closely resembling cluster headache.
The term 'Sluder's neuralgia' should be discarded to prevent further confusion in the classification of facial pain.
Reclassifying this syndrome as a type of neurovascular headache aligns with current medical understanding and improves diagnostic clarity.

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