REVIEW PAPER
Rare pain syndromes of the head and neck
 
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Katedra i Klinika Otolaryngologii, Gdański Uniwersytet Medyczny, Polska
CORRESPONDING AUTHOR
Dmitry Tretiakow   

Katedra i Klinika Otolaryngologii, Gdański Uniwersytet Medyczny, Polska
 
 
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ABSTRACT
Introduction:
Pain is one of the most important reasons that brings the patient to the doctor. However, pain concerning the ear, nose, throat, larynx and neck is not always directly related to inflammation, trauma or cancer in these regions. It happens that the family doctor or otolaryngologist does not find any deviations in the clinical examination which could be the cause of pain complaints. Such a patient is often referred to doctors of other specialties (including a neurologist, maxillofacial surgeon, or general practitioner), which results in the continuation of suffering, and uncertainty due to the lack of diagnosis.

Objective:
The aim of the study was to remind and sum-up knowledge about rare pain syndromes encountered in the practice of doctors of various specialties.

Brief description of the state of knowledge:
Rare pain syndromes occurring in the region of the head and neck include Eagle›s syndrome, XI cranial neuralgia, myofascial pain syndrome and glossopharyngeal neuralgia. These syndromes are relatively rarely diagnosed. The routine analgesic treatment applied by otolaryngologists and family physicians is usually poorly effective.

Conclusions:
It is important to remember while making a differential diagnosis for the above-mentioned pain syndromes to consider the fact that although they occur rarely, they significantly deteriorate the patient’s quality of life, cause diagnostic difficulties, and are most often associated with the lack of causal treatment and poor effectiveness of basic methods of analgesic treatment.

 
REFERENCES (25)
1.
Ferreira PC, Mendanha M, Frada T, Carvalho J, Silva Á, Amarante J. Eagle Syndrome. J Craniofac Surg. 2014; 25(1): e84–6.
 
2.
Zeckler S-R, Betancur AG, Yaniv G. The eagle is landing: Eagle syndrome – an important differential diagnosis. Br J Gen Pract. 2012; 62(602): 501–2.
 
3.
Spalthoff S, Zimmerer R, Dittmann O, Tavassol F, Dittmann J, Gellrich N-C, et al. Piezoelectric surgery and navigation: a safe approach for complex cases of Eagle syndrome. Int J Oral Maxillofac Surg. 2016; 45(10): 1261–7.
 
4.
Hupp WS, Firriolo FJ. Cranial Neuralgias. Dent Clin North Am. 2013; 57(3): 481–95.
 
5.
Shah JP, Thaker N. Myofascial Pain Syndrome. In: Fundamentals of Pain Medicine. Cham: Springer International Publishing; 2018; 177–84.
 
6.
Khan M, Nishi SE, Hassan SN, Islam MA, Gan SH. Trigeminal Neuralgia, Glossopharyngeal Neuralgia, and Myofascial Pain Dysfunction Syndrome: An Update. Pain Res Manag. 2017; 2017: 1–18.
 
7.
Desai MJ, Saini V, Saini S. Myofascial Pain Syndrome: A Treatment Review. Pain Ther. 2013; 12; 2(1): 21–36.
 
8.
Singh P, Trikha A, Kaur M. An uncommonly common: Glossopharyngeal neuralgia. Ann Indian Acad Neurol. 2013; 16(1): 1.
 
9.
Shah RJ, Padalia D. Glossopharyngeal Neuralgia. StatPearls Publishing LLC. 2020. https://www.ncbi.nlm.nih.gov/b....
 
10.
Tepper SJ. Cranial Neuralgias. Contin Lifelong Learn Neurol. 2018; 24(4): 1157–78.
 
11.
Gadient PM, Smith JH. The Neuralgias: Diagnosis and Management. Curr Neurol Neurosci Rep. 2014; 6; 14(7): 459.
 
12.
Tubbs RS, Mosier KM, Cohen-Gadol AA. Geniculate Neuralgia: Clinical, Radiologic, and Intraoperative Correlates. World Neurosurg. 2013; 80(6): e353–7.
 
13.
Badhey A, Jategaonkar A, Anglin Kovacs AJ, Kadakia S, De Deyn PP, Ducic Y, et al. Eagle syndrome: A comprehensive review. Clin Neurol Neurosurg. 2017; 159: 34–8.
 
14.
Czajka M, Szuta M, Zapała J, Janecka I. Assessment of surgical treatment of Eagle’s syndrome. Otolaryngol Pol. 2019; 5; 73(3): 1–5.
 
15.
Burulday V, Akgül MH, Bayar Muluk N, Yağdiran B, Inal M. The importance of medial-lateral styloid process angulation/coronal plane angle in symptomatic eagle syndrome. Clin Anat. 2017; 30(4): 487–91.
 
16.
Gerwin RD. Diagnosis of myofascial pain syndrome. Phys Med Rehabil Clin N Am. 2014; 25(2): 341–55. doi: 10.1016/j.pmr.2014.01.011.
 
17.
Jani RH, Hughes MA, Ligus ZE, Nikas A, Sekula RF. MRI Findings and Outcomes in Patients Undergoing Microvascular Decompression for Glossopharyngeal Neuralgia. J Neuroimaging. 2018; 28(5): 477–82.
 
18.
O’Neill F, Nurmikko T, Sommer C. Other facial neuralgias. Cephalalgia. 2017; 29; 37(7): 658–69.
 
19.
Guinto G, Guinto Y. Nervus Intermedius. World Neurosurg. 2013; 79(5–6): 653–4.
 
20.
Nanda A, Khan IS. Nervus Intermedius and Geniculate Neuralgia. World Neurosurg. 2013; 79(5–6): 651–2.
 
21.
Dorsch JN. Neurologic Syndromes of the Head and Neck. Prim Care Clin Off Pract. 2014; 41(1): 133–49.
 
22.
Tang IP, Freeman SR, Kontorinis G, Tang MY, Rutherford SA, King AT, et al. Geniculate neuralgia: a systematic review. J Laryngol Otol. 2014; 13; 128(5): 394–9.
 
23.
Tubbs RS, Steck DT, Mortazavi MM, Cohen-Gadol AA. The Nervus Intermedius: A Review of Its Anatomy, Function, Pathology, and Role in Neurosurgery. World Neurosurg. 2013; 79(5–6): 763–7.
 
24.
Tretiakow D, Skorek A. First bite syndrome: the complication to keep in mind. Pol Przegl Otorynolaryngol. 2019; 25; 8(4): 1–3.
 
25.
Blumenfeld A, Nikolskaya G. Glossopharyngeal Neuralgia. Curr Pain Headache Rep. 2013; 25; 17(7): 343.
 
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