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Persistent Idiopathic Facial Pain Originating from Cervical Abnormalities
1Joint Surgery and Sport Medicine Department, Hunan Provincial People's Hospital, The First Affiliated Hospital of Hunan Normal University, Changsha, China.
World Neurosurgery
|October 20, 2019
Summary
Persistent idiopathic facial pain, often unexplained, may stem from the neck. Treating upper cervical nerves (C1 and C2 spinal roots) offered significant relief in a case study, suggesting a cervicogenic origin for this facial pain.
Area of Science:
- Pain Medicine
- Neurology
- Anesthesiology
Background:
- Persistent idiopathic facial pain (PIFP) presents as unexplained facial or oral pain without neurological deficits.
- The exact cause of PIFP is unknown, but it may involve cranial nerves and upper cervical spinal roots.
- This condition remains underexplored in current medical literature.
Observation:
- A patient experienced persistent idiopathic facial pain and neck stiffness after a neck massage.
- The patient underwent coblation of the right C1 and C2 spinal roots.
- Continuous cervical epidural analgesia was administered for three weeks post-procedure.
Findings:
- The patient reported nearly complete pain relief following the intervention.
- Analgesic effects remained stable throughout the 3-month follow-up period.
- Coblation of upper cervical nerves and subsequent epidural analgesia proved effective.
Implications:
- Persistent idiopathic facial pain may have a cervicogenic origin.
- Targeting cervical spinal roots can be a viable treatment strategy for PIFP.
- Cervical abnormalities may contribute to facial pain, warranting focused treatment.
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