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Minimally Invasive Surgical Decompression of Occipital Nerves

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[Post-traumatic supraorbital neuralgia: a benign condition].

M Penas-Prado¹, A Martínez-Salio, J Porta-Etessam

¹Hospital Universitario 12 de Octubre, 28045 Madrid, España.

Revista De Neurologia

|January 20, 2007

Summary

Post-traumatic supraorbital neuralgia, often caused by frontal injury, typically shows good recovery. This condition, distinct from idiopathic cases, usually improves with time and symptomatic treatment.

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Chronic Constriction Injury of the Rat's Infraorbital Nerve (IoN-CCI) to Study Trigeminal Neuropathic Pain

Chronic Constriction Injury of the Rat's Infraorbital Nerve (IoN-CCI) to Study Trigeminal Neuropathic Pain

Published on: September 21, 2015

Area of Science:

Neurology
Pain Medicine
Trauma Surgery

Background:

Supraorbital neuralgia is a recently described condition, often idiopathic and challenging to treat.
This study focuses on a variant with a known cause, common presentation, and favorable prognosis.

Observation:

Five patients (4 female, 1 male, mean age 55) with frontal region trauma developed neuropathic pain.
Symptoms included continuous burning/piercing pain, paroxysmal pain, or itching, without autonomic features.
Clinical findings revealed tactile hypesthesia, hyperalgesia, allodynia, and a positive Tinel's sign in the affected area.

Findings:

Neuroimaging was normal in all cases.
Most patients improved spontaneously or with symptomatic treatment within a year.
Three patients experienced complete pain resolution, while sensory alterations persisted in all.

Implications:

Post-traumatic supraorbital neuralgia is likely underdiagnosed but presents with distinct features.
The condition generally has a good prognosis and responds well to conservative or symptomatic management.
Understanding these features aids in differentiating it from idiopathic supraorbital neuralgia and guides treatment decisions.