Sluder in 1908 described a constellation of symptoms that some clinicians now describe interchangeably to ch. Sluders irritation of the sphenopalatine ganglion neuralgia. In this technical note the authors present, for the first time, an spg approach using the. He was the first to describe this type of headache as nasal headache in 1908 due to sphenopalatine meckel s ganglion involvement, but later he called it sphenopalatine ganglion neuralgia. Occurs most commonly in females after the age of 30. The gold standard treatments for spgrelated pain are percutaneous procedures performed with the aid of fluoroscopy or ct. Headache, migraine, fibromyalgia and tmj treatment with.
Know more about contact point headache max hospital. Argoff md, in pain management secrets third edition, 2009. There is often accompanying eye watering, nasal congestion, or swelling around the eye on the affected side. Pneumatized superior turbinate as a cause of headache. Sluders sphenopalatine ganglion neuralgiatreatment with 88. In 1908 sluder described a symptom complex consisting of neuralgic, motor, sensory and gustatory manifestations that he attributed to the sphenopalatine. It is proposed that the condition described by sluder is a neurovascular headache that most closely resembles cluster headache in its aetiology and clinical. Get a printable copy pdf file of the complete article 181k, or click on a page image below to browse page by page. Synonyms for sluder s irritation of the sphenopalatine ganglion neuralgia in free thesaurus.
According to kern, the diagnosis of sluder s neuralgia was confirmed only in cases where local anesthetic block of the sphenopaltine ganglion was successful. Neuronavigated percutaneous approach to the sphenopalatine. The common trias of symptoms consists of rhinorrhea, pronounced ocular and orbital pain at the inner angle of the eye at the side of the frontal nerve. Abstract in 1908 sluder described a symptom complex consisting of neuralgic, motor, sensory and gustatory manifestations that he attributed to the sphenopalatine ganglion. Sphenopalatine neuralgia aka sluder s neuralgia is a description of a specific clinical picture of headache and facial pain with some overlapping characteristics consistent with migraine type headaches. Trigeminal neuralgia also called tic douloureux, the most common type of neuralgia, causes a brief, searing pain along the trigeminal nerve, which supplies sensation to the face. Contact point headaches sluders neuralgia, anterior.
Sphenopalatine neuralgia, which is also called sluder s neuralgia after the physician who described it, is a condition associated with facial pain, predominantly around and behind the eye, temple, upper jaw maxilla, and upper gums. It contains both sympathetic and parasympathetic neurons and has been assumed to be involved in a wide spectrum of facial pain. Treatment options for sluders neuralgia, an uncommon cause for recurring head and face. Associate attending neurologist, the neurological institute of the presbyterian hospital in the city of new york. The key clinical features include unilateral pain in the face usually around the nasal region lasting for days and associated with nasal congestion, otalgia, and. Sluder, g a phenol carbolic add injection treatment for sphenopalatine ganglion neuralgia, the. Patients who experience chronic recurring head and face pain present a diagnostic and therapeutic challenge. Several differences between sluder s neuralgia and cluster headache became evident. The novelty of this disease drew considerable attention, and the enthusiasm continued for several years, reaching a maximum in the early twenties. Beginning with the early part of the twentieth century, sluder reported the first case of headache being relieved by sphenopalatine ganglion block with local anesthetic. Trigeminal neuralgia is considered by many to be among the most painful of conditions.
Unlimited viewing of the articlechapter pdf and any associated supplements and figures. Trigeminal neuralgia, or tic douloureux, is a neuropathic disorder of the trigeminal nerve that causes episodes of intense pain in the eyes, lips, nose, scalp, forehead, and jaw. Also associated increased autonomic activity resulting in ipsilateral nasal drainage, eye. Sluder s sphenopalatine ganglion neuralgia treatment with 88% phenol. T he sphenopalatine ganglion spg is the largest group of extracranial neurons. Hello dear, sphenopalatine neuralgia is defined as neuralgia of the lower half of the face, with pain referred to the root of the nose, upper teeth, eyes, ears, mastoid, and occiput, in association with nasal congestion and rhinorrhoea occurring in infection of the nasal sinuses, and produced by lesions of the sphenopalatine ganglion. Atypical facial pains sluder s neuralgia local treatment of the sphenopalatine ganglion with phenolcase report otolaryngologia polska 6. The pain mainly radiates to the eyebrow and into the orbit or into the nose or jaw. Sphenopalatine ganglion neuralgia diagnosis and treatment. Atypical trigeminal neuralgia with cluster headaches. Sluder s neuralgia and cluster headache could possibly be regarded as two different headache syndromes, and sluder s neuralgia could be a trigeminal autonomic cephalalgia. Sluder neuralgia definition of sluder neuralgia by. Rare craniofacial pain syndrome, also known as sluder s neuralgia. These symptoms typically last 15 minutes to 3 hours.
Contact point headache anterior ethmoidal neuralgia is a rare type of cerebral pain that causes extraordinary anguish and distress in many patients. Meckel s ganglion, sluter s ganglion and nasal ganglionis the largest of the four. The other disorders discussed here include a variety of craniofacial pain disorders or cephalic neuralgias. Oral and maxillofacial medicine the basis of diagnosis and treatment, 3e. Ty jour t1 sluder s sphenopalatine ganglion neuralgia treatment with 88% phenol. According to new findings, sluder s neuralgia, cluster headache and sympathetic neuralgia in the face are likely to be of vascular origin from the branches of the external carotid artery. In 1908 sluder described a symptom complex consisting of neuralgic, motor, sensory and gustatory manifestations.
Block, radiofrequency ablation, and neurostimulation have all been applied to treat a myriad of painful syndromes. Sphenopalatine neuralgia has been given a number of names, including lower half headache, greater superficial neuralgia, sluder s neuralgia, and atypical facial pain. Based on described symptoms, new criteria for sluder s neuralgia could be formulated. What are synonyms for sluder s irritation of the sphenopalatine ganglion neuralgia. The symptoms comprise of various manifestations and include both sensory as well as motor components. Atypical facial neuralgia in damages of the sphenopalatine ganglion probably due to vasodilatation of the internal maxillary artery. Although the effective role of the spg in generating head and facial pain is still under investigation, in recent decades treatment involving the spg has.
Sluders sphenopalatine ganglion neuralgiatreatment with. Attacks often occur in clusters which typically last for weeks or months. Examples discussed in this section are cluster headache also known aspetrosal neuralgia or migrainous neuralgia, geniculate neuralgia, sphenopalatine neuralgia sluder s neuralgia. The pain may begin at the base of the nose then spread around the eye. Guillotine for enucleation of tonsils by sluders method. Article information, pdf download for sluders sphenopalatine ganglion. Sphenopalatine ganglion neuralgia diagnosis and treatment the sphenopalatine ganglion has been infrequently implicated in vague symptoms of the head, face, gums, teeth, neck and back since the early 1900s. Comparison of the effect of various chemical peeling.
Later 1909, 1910, 1915, he reported motor, sensory, gustatory, ocular, respiratory and sympathetic phenomena vasomotor and. Antonyms for sluder s irritation of the sphenopalatine ganglion neuralgia. A unilateral neuroophthalmic syndrome resulting from a neuritis of the nasal branch of the trigeminal nerve. Over the past century, it has been a target for interventional treatment of head and facial pain due to its ease of access. Alveolar branches of superior maxillary nerve and pterygopalatine ganglion. In 1908, the late greenfield sluder reported certain neuralgic symptoms that he thought were produced by lesions affecting the nasal ganglions sphenopalatine, meckel s. Sphenopalatine neuralgia has been given a number of names, including lower half headache, greater superficial neuralgia, sluders neuralgia, and atypical. Clinical functional anatomy of the pterygopalatine. Sphenopalatine ganglion is the largest collection of neurons in the calvarium outside of the brain. He stated that treatment directed at the ganglion successfully alleviated these symptoms. Role of the sphenopalatine meckels ganglion in nasal headache, new york med. Occipital neuralgia an overview sciencedirect topics. Neuralgia can result from tooth decay, poor diet, eye strain, nose infections, or exposure to damp and cold. Treatment options for sluder s neuralgia, an uncommon cause for recurring head and face pain, are controversial.
In its typical form, trigeminal neuraliga should present no. Clinical features in 91 cases and proposal of novel diagnostic criteria. Unlike neuritis neuritis, inflammation of a peripheral nerve, often accompanied by degenerative changes in nervous tissue. Associate professor of clinical neurology, college of physicians and surgeons, columbia university. Charlin s neuralgia and sluder s neuralgia the pain of these very rare disorders can manifest in association with similar symptoms and signs, and is typically localised in the medial angle of the eye. They are often named according to the nerve responsible for the pain. Sluders neuralgia also known as sphenopalatine neuralgia consists of. Etiology, diagnosis, prognosis and treatment of sphenopalatine neuralgia. In the early part of this century the late greenfield sluder first directed attention to a syndrome which he called sphenopalatine ganglion neuralgia, or lower half headache. This article discusses sluder s description and attempts to analyse its features in the light of current understanding of the different mechanisms and categories of facial pain. Postherpetic neuralgia is an intense debilitating pain felt at the site of a previous attack of shingles.
Characterized by unilateral pain in the orbit, mouth, nose, and posterior mastoid process. Pain is associated with nasal andor sinus congestion, swelling or erythema. It is an uncommon kind of a headache submigraine that displays itself as a persistent wounding. The cause can be mechanical injury, pressure, vascular occlusion of a vessel or hemorrhage into nerve tissue, infectious invasion by microorganisms, toxic metallic. This as a cause of headache has not been validated by the international headache society and may not be a unique entity, but instead a form of cluster headache. Bliss is at present considering explanations for this unusual reference distribution.
1482 1074 172 1119 1550 136 547 718 303 725 1113 7 95 942 1548 8 718 543 903 30 869 770 269 365 1216 960 881