Neuralgias are syndromes characterized by intermittent attacks of sharp and paroxysmal pain along the course of a nerve. The neuralgias involving the face are often misdiagnosed and seen initially by the dentist or otolaryngologist. Therefore treatment is often delayed and patients may unnecessarily suffer from neuropathic pain until someone correctly recognizes the signs and refers the patient to a neurologist. The authors describe some of the atypical and lesser-known neuralgias of the face. Neuropathic pain originating in the back of the head along the distribution of the occipital nerves is called occipital neuralgia see Figure 1.
Atypical trigeminal neuralgia
Atypical Facial Pain | Temple Health
In recent years, however, AFP has come to describe facial pain with no known cause. The exact source of AFP is unknown and therefore thought to be psychologically based. A few risk factors that seem to lead to AFP include:. AFP symptoms revolve around pain in the face.
Persistent idiopathic facial pain
Background Persistent idiopathic facial pain PIFP is a chronic disorder recurring daily for more than two hours per day over more than three months, in the absence of clinical neurological deficit. PIFP is the current terminology for Atypical Facial Pain and is characterized by daily or near daily pain that is initially confined but may subsequently spread. Pain cannot be attributed to any pathological process, although traumatic neuropathic mechanisms are suspected. When present intraorally, PIFP has been termed 'Atypical Odontalgia', and this entity is discussed in a separate article in this special issue. PIFP is often a difficult but important differential diagnosis among chronic facial pain syndromes.
If you are looking for information about atypical facial pain treatment , your suffering has undoubtedly been intense and of long duration. As this kind of pain is difficult to diagnose and does not respond well to medication, you have probably experienced much frustration in seeking relief. Because of the side effects of drug agents and their efficacy limitations, patients often choose a neurosurgical intervention such as microvascular decompression, Gamma Knife Radiosurgery, percutaneous rhizotomy or pain stimulator placement. While each of these treatments is appropriate for certain patients, doctors deem microvascular decompression the best option for many. Atypical facial pain can be due to an array of serious maladies, but the usual cause is trigeminal neuralgia.