• A&A practice · Aug 2022

    Case Reports

    Intermediate Cervical Plexus Block for Refractory Bilateral Facial Pain From a Whiplash Injury in 3 Patients: A Case Report.

    • Hayun Lee, Lynnette Simpson, and G Niraj.
    • From the Department of Pain Medicine, University Hospitals of Leicester NHS Trust, Leicester, United Kingdom.
    • A A Pract. 2022 Aug 1; 16 (8): e01612.

    AbstractBilateral facial pain is associated with temporomandibular joint dysfunction and rarely, trigeminal neuralgia. In the absence of clinical and radiological signs, a diagnosis of persistent idiopathic facial pain is often made. Standard management of persistent idiopathic facial pain includes pharmacotherapy and psychotherapy with variable therapeutic efficacy. Whiplash can result in persistent facial pain although its clinical presentation and management are poorly defined. This report includes 3 patients with refractory bilateral facial pain. A detailed review of history revealed whiplash before the onset of the symptoms. The authors present a novel intervention, an intermediate cervical plexus block that produced durable analgesia.Copyright © 2022 International Anesthesia Research Society.

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