Persistent Idiopathic Facial Pain Workup

  • Author: Stanley J Krolczyk, DO, RPh; Chief Editor: Robert A Egan, MD   more...
 
Updated: Mar 1, 2012
 

Imaging Studies

MRI of the brain with and without gadolinium is the imaging modality of choice.

CT scanning of the brain with contrast has a lower yield than MRI because of poorer resolution of the posterior fossa and cranial nerves.

 
 
Contributor Information and Disclosures
Author

Stanley J Krolczyk, DO, RPh  Assistant Professor, Director of Multiple Sclerosis Center, Department of Neurology, University of South Florida College of Medicine

Stanley J Krolczyk, DO, RPh is a member of the following medical societies: American Academy of Neurology, American Headache Society, American Medical Association, and American Osteopathic Association

Disclosure: TEVA Grant/research funds CLINICAL TRIALS; TEVA Consulting fee Speaking and teaching; EMD SERONO Consulting fee Speaking and teaching; BIOGEN Consulting fee Speaking and teaching; EMD SERONO Grant/research funds CLINICAL TRIALS; Novartis Consulting fee Speaking and teaching; NOVARTIS CLINICAL TRIALS

Coauthor(s)

Kavita Kalidas  MD, Assistant Professor, Department of Neurology, College of Medicine, University of South Florida

Kavita Kalidas is a member of the following medical societies: American Academy of Neurology, American Medical Association, and American Pain Society

Disclosure: Nothing to disclose.

Martin A Myers  University of South Florida College of Medicine

Disclosure: Nothing to disclose.

Specialty Editor Board

Joseph Carcione Jr, DO, MBA  Consultant in Neurology and Medical Acupuncture, Medical Management and Organizational Consulting, Central Westchester Neuromuscular Care, PC; Medical Director, Oxford Health Plans

Joseph Carcione Jr, DO, MBA is a member of the following medical societies: American Academy of Neurology

Disclosure: Nothing to disclose.

Francisco Talavera, PharmD, PhD  Adjunct Assistant Professor, University of Nebraska Medical Center College of Pharmacy; Editor-in-Chief, Medscape Drug Reference

Disclosure: Medscape Salary Employment

Robert A Egan, MD  Director of Neuro-Ophthalmology, St Helena Hospital

Robert A Egan, MD is a member of the following medical societies: American Academy of Neurology, American Heart Association, North American Neuro-Ophthalmology Society, and Oregon Medical Association

Disclosure: Nothing to disclose.

Selim R Benbadis, MD  Professor, Director of Comprehensive Epilepsy Program, Departments of Neurology and Neurosurgery, Tampa General Hospital, University of South Florida College of Medicine

Selim R Benbadis, MD is a member of the following medical societies: American Academy of Neurology, American Academy of Sleep Medicine, American Clinical Neurophysiology Society, American Epilepsy Society, and American Medical Association

Disclosure: UCB Pharma Honoraria Speaking, consulting; Lundbeck Honoraria Speaking, consulting; Cyberonics Honoraria Speaking, consulting; Glaxo Smith Kline Honoraria Speaking, consulting; Pfizer Honoraria Speaking, consulting; Sleepmed/DigiTrace Honoraria Speaking, consulting

Chief Editor

Robert A Egan, MD  Director of Neuro-Ophthalmology, St Helena Hospital

Robert A Egan, MD is a member of the following medical societies: American Academy of Neurology, American Heart Association, North American Neuro-Ophthalmology Society, and Oregon Medical Association

Disclosure: Nothing to disclose.

References
  1. Pascual J, Colas R, Castillo J. Epidemiology of chronic daily headache. Curr Pain Headache Rep. Dec 2001;5(6):529-36. [Medline].

  2. Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalalgia. 2004;24 Suppl 1:9-160. [Medline].

  3. Kavuk I, Yavuz A, Cetindere U, Agelink MW, Diener HC. Epidemiology of chronic daily headache. Eur J Med Res. Jun 30 2003;8(6):236-40. [Medline].

  4. Bordini C, Antonaci F, Stovner LJ, Schrader H, Sjaastad O. "Hemicrania continua": a clinical review. Headache. Jan 1991;31(1):20-6. [Medline].

  5. Madland G, Feinmann C. Chronic facial pain: a multidisciplinary problem. J Neurol Neurosurg Psychiatry. Dec 2001;71(6):716-9. [Medline].

  6. Volcy M, Rapoport AM, Tepper SJ, Sheftell FD, Bigal ME. Persistent idiopathic facial pain responsive to topiramate. Cephalalgia. Apr 2006;26(4):489-91. [Medline].

  7. Kaup AO, Mathew NT, Levyman C, Kailasam J, Meadors LA, Villarreal SS. 'Side locked' migraine and trigeminal autonomic cephalgias: evidence for clinical overlap. Cephalalgia. Feb 2003;23(1):43-9. [Medline].

  8. Leone M, D'Amico D, Frediani F, Torri W, Sjaastad O, Bussone G. Clinical considerations on side-locked unilaterality in long-lasting primary headaches. Headache. Jul-Aug 1993;33(7):381-4. [Medline].

  9. Turp JC, Gobetti JP. Trigeminal neuralgia versus atypical facial pain. A review of the literature and case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Apr 1996;81(4):424-32. [Medline].

  10. Cunningham AL, Dworkin RH. The management of post-herpetic neuralgia. BMJ. Sep 30 2000;321(7264):778-9. [Medline].

  11. Rozen TD. Trigeminal Autonomic Cephalgias. Continuum. Dec 2006;12:170-93.

  12. Watson P, Evans R. Cluster-tic syndrome. Headache. May 1985;25(3):123-6. [Medline].

  13. Pareja JA, Sjaastad O. SUNCT syndrome. A clinical review. Headache. Apr 1997;37(4):195-202. [Medline].

  14. Pareja JA, Ruiz J, de Isla C, al-Sabbah H, Espejo J. Idiopathic stabbing headache (jabs and jolts syndrome). Cephalalgia. Apr 1996;16(2):93-6. [Medline].

  15. Mokri B. Raeder's paratrigeminal syndrome. Original concept and subsequent deviations. Arch Neurol. Jul 1982;39(7):395-9. [Medline].

  16. Kuritzky A. Indomethacin-resistant hemicrania continua. Cephalalgia. Feb 1992;12(1):57-9. [Medline].

  17. Peres MF, Silberstein SD, Nahmias S, et al. Hemicrania continua is not that rare. Neurology. Sep 25 2001;57(6):948-51. [Medline].

  18. Ogutcen-Toller M, Uzun E, Incesu L. Clinical and magnetic resonance imaging evaluation of facial pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. May 2004;97(5):652-8. [Medline].

  19. Rozen TD. Antiepileptic drugs in the management of cluster headache and trigeminal neuralgia. Headache. Nov-Dec 2001;41 Suppl 1:S25-32. [Medline].

  20. Alberca R, Ochoa JJ. Cluster tic syndrome. Neurology. Jun 1994;44(6):996-9. [Medline].

  21. Carrazana E, Mikoshiba I. Rationale and evidence for the use of oxcarbazepine in neuropathic pain. J Pain Symptom Manage. May 2003;25(5 Suppl):S31-5. [Medline].

  22. Delvaux V, Schoenen J. New generation anti-epileptics for facial pain and headache. Acta Neurol Belg. Mar 2001;101(1):42-6. [Medline].

  23. Evans RW, Agostoni E. Persistent idiopathic facial pain. Headache. Sep 2006;46(8):1298-300. [Medline].

  24. Jaaskelainen SK. Clinical neurophysiology and quantitative sensory testing in the investigation of orofacial pain and sensory function. J Orofac Pain. Spring 2004;18(2):85-107. [Medline].

  25. Katusic S, Beard CM, Bergstralh E, Kurland LT. Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984. Ann Neurol. Jan 1990;27(1):89-95. [Medline].

  26. Pareja JA, Caminero AB, Sjaastad O. SUNCT Syndrome: diagnosis and treatment. CNS Drugs. 2002;16(6):373-83. [Medline].

  27. Pettengill CA, Reisner-Keller L. The use of tricyclic antidepressants for the control of chronic orofacial pain. Cranio. Jan 1997;15(1):53-6. [Medline].

  28. Piedimonte F, Schvarcz JR. Stereotactic trigeminal nucleotomy for dysesthetic facial pain. Stereotact Funct Neurosurg. 1997;68(1-4 Pt 1):175-81. [Medline].

  29. Reisner L, Pettengill CA. The use of anticonvulsants in orofacial pain. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. Jan 2001;91(1):2-7. [Medline].

  30. Swift JQ, Roszkowski MT. The use of opioid drugs in management of chronic orofacial pain. J Oral Maxillofac Surg. Sep 1998;56(9):1081-5. [Medline].

  31. Türp JC, Kowalski CJ, Stohler CS. Pain descriptors characteristic of persistent facial pain. J Orofac Pain. Fall 1997;11(4):285-90. [Medline].

  32. Wahlund K, List T, Dworkin SF. Temporomandibular disorders in children and adolescents: reliability of a questionnaire, clinical examination, and diagnosis. J Orofac Pain. Winter 1998;12(1):42-51. [Medline].

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